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June 15, 2009South African Medical JournalOpen Access

The postoperative analgesic effects of low-dose gabapentin in patients undergoing abdominal hysterectomy

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Key result

Low-dose gabapentin significantly reduced postoperative pain intensity at 2 hours (38.9 vs 74.9 on a 100 mm scale, p<0.05) and decreased opioid requirements compared to placebo after abdominal hysterectomy.

Why the study?

Does low-dose gabapentin reduce postoperative pain in patients undergoing abdominal hysterectomy?

Population

98 patients undergoing abdominal hysterectomy

Comparison

Oral gabapentin 400 mg 1 hour before surgery… vs Placebo

Design

RCT, randomised, double-blind

Follow-up

24 hours

Authors

LSLeila SekhavatFZFateme ZareMMMahdiah Mojibian

Discussion

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Overview

Low-dose gabapentin reduces early pain and opioid needs after abdominal hysterectomy; supports perioperative use and extends gabapentinoid evidence in gynecologic surgery.

Study Design

Type

RCT (n=98)

Blinding

Double-blind

Randomization

Computer-generated random number table

Multicenter

No

Structured PICO

Does low-dose gabapentin reduce postoperative pain in patients undergoing abdominal hysterectomy?

P
Population
98 women aged 35 to 55 years undergoing elective abdominal hysterectomy for benign conditions, followed for 24 hours postoperatively.
I
Intervention
Oral gabapentin 400 mg 1 hour before surgery, followed by 100 mg 8, 16 and 24 hours after the initial dose
C
Comparator
Placebo (both groups had access to 5 mg morphine for rescue analgesia)
O
Outcome
Pain intensity self-evaluated using a 100 mm visual analogue scalepatient reported

Main Result

Absolute Event Rate: 38.9% vs 74.9%

p-value: p=<0.05

Low-dose gabapentin administered perioperatively significantly reduces early postoperative pain following abdominal hysterectomy.

Limitations

  • Single-center study design
  • Discrepancy in the reported preoperative dose between the abstract (400 mg) and the methods section (600 mg)

Cite This Study

Sekhavat et al. (2009) conducted an RCT in Elective abdominal hysterectomy for benign conditions (n=98). Gabapentin vs. Placebo was evaluated on Postoperative pain intensity at 2 hours (100 mm visual analogue scale) (p=<0.05). Low-dose gabapentin significantly reduced postoperative pain intensity at 2 hours (38.9 vs 74.9 on a 100 mm scale, p<0.05) and decreased opioid requirements compared to placebo after abdominal hysterectomy.

synapsesocial.com/papers/6a9ff2f29bb906707eefd56dhttps://doi.org/10.7196/sajog.144
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pre-emptive gabapentin for postoperative pain relief in abdominal hysterectomy2016 · 4 citations
  2. 2Effect of Pre-Emptive Gabapentin for Post-Operative Analgesia in Vaginal Hysterectomy under Spinal Anaesthesia2019
  3. 3Preemptive Use of Gabapentin in Abdominal Hysterectomy2014 · 69 citations
  4. 4Comparative efficacious study between preoperative pregabalin and gabapentin on postoperative pain in abdominal hysterectomy: an institutional experience2017 · 4 citations
  5. 5A Randomised Controlled Trial to Compare Preemptive Pregabalin with Gabapentin for Post-Operative Analgesia in Abdominal Hysterectomy2019