Key result
Multimodal analgesia and regional anesthesia effectively managed postoperative pain, significantly reducing mean VAS scores from 6.5 at 1 hour to 2.2 at 24 hours (p<0.01) with fewer side effects than opioids alone.
Why the study?
Inadequate pain relief after gynecologic laparoscopic surgeries can delay recovery and affect patient satisfaction, necessitating evaluation of different postoperative pain management strategies.
Do multimodal analgesia and regional anesthesia improve postoperative pain relief and reduce side effects compared to opioids alone in adult females undergoing elective gynecologic laparoscopic surgeries?
Cross-Sectional (n=60)
Yes
Do multimodal analgesia and regional anesthesia improve postoperative pain relief and reduce side effects compared to opioids alone in adult females undergoing elective gynecologic laparoscopic surgeries?
Multimodal analgesia and regional anesthesia provide superior pain control, fewer side effects, and shorter hospital stays compared to opioid monotherapy in gynecologic laparoscopic surgeries.
Answers are grounded in this paper and cite their sources.
Multimodal analgesia may aid pain control with fewer opioid effects after gynecologic laparoscopy; leaves open need for RCTs before changing practice.
Background: Postoperative pain management is crucial in gynecologic laparoscopic surgeries, as inadequate pain relief can delay recovery and affect patient satisfaction. This study evaluated the effectiveness of different postoperative pain management strategies in a cohort of female patients undergoing elective procedures. The primary objective was to assess the effectiveness of multimodal analgesia, including nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and regional anesthesia, on postoperative pain relief. Secondary objectives included evaluating side effects associated with these pain management strategies. Methods: This cross-sectional observational study was conducted from July 2022 to June 2024 at the department of anesthesia, in different private clinics in Sylhet region, Bangladesh. A total of 60 adult female patients aged 18 to 65 years undergoing elective gynecologic laparoscopic surgeries were included. Data were collected using patient interviews and medical records, assessing pain levels using the visual analog scale (VAS) at 1, 6, 12, and 24 hours postoperatively. Statistical analysis was performed using SPSS software. Results: Among the 60 participants, the mean age was 35 years, with 55% undergoing laparoscopic hysterectomy and 45% laparoscopic cystectomy. At 1 hour postoperatively, the mean VAS score was 6.5±1.2, decreasing significantly to 2.2±0.9 by 24 hours (p<0.01). Pain management strategies included NSAIDs in 75% of patients, opioids in 50%, and regional anesthesia in 41.7%. The incidence of adverse effects varied: nausea was reported in 33.3% of opioid users compared to only 6.7% in NSAID users. Conclusions: The findings indicate that implementing multimodal analgesia, particularly incorporating regional anesthesia, can enhance postoperative pain management in gynecologic laparoscopic surgeries. This approach not only improves pain relief but also minimizes the adverse effects commonly associated with opioid use.
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Amin et al. (2024) conducted a cross-sectional in Postoperative pain in gynecologic laparoscopic surgeries (n=60). Multimodal analgesia and regional anesthesia vs. Opioids alone or NSAIDs alone was evaluated on Mean visual analog scale (VAS) score at 24 hours postoperatively (p=<0.01). Multimodal analgesia and regional anesthesia effectively managed postoperative pain, significantly reducing mean VAS scores from 6.5 at 1 hour to 2.2 at 24 hours (p<0.01) with fewer side effects than opioids alone.
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