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January 1, 2016International Journal of Research in Medical SciencesOpen Access

Pre-emptive gabapentin for postoperative pain relief in abdominal hysterectomy

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Key result

Pre-emptive oral gabapentin (600 mg) significantly reduced the mean number of rescue analgesic doses required (2.1 vs 4.3, p<0.001) compared to placebo in women undergoing abdominal hysterectomy.

Why the study?

Does pre-emptive oral gabapentin 600 mg reduce postoperative pain and analgesic requirement in female patients undergoing abdominal hysterectomy?

Population

60 female patients of ASA grade I and II, age between 25-70 years, scheduled for abdominal hysterectomy…

Comparison

Oral capsule gabapentin administered two hours… vs Placebo in the form of capsule multivitamin…

Design

RCT, Randomly allocated into two groups using a computer-generated list of…

Follow-up

12 hours postoperatively

Authors

SMShailendra ModakLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical CollegeJMJyoti MagarLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical CollegeVKVinayak KakadLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Discussion

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Overview

Preoperative gabapentin 600 mg reduces pain scores and tramadol use after hysterectomy; reinforces preemptive analgesia in gynecologic surgery.

Study Design

Type

RCT (n=60)

Blinding

Double-blind

Randomization

Computer-generated list of random numbers

Multicenter

No

Structured PICO

Does pre-emptive oral gabapentin 600 mg reduce postoperative pain and analgesic requirement in female patients undergoing abdominal hysterectomy?

P
Population
60 female patients aged 25-70 years with ASA grade I or II scheduled for abdominal hysterectomy under spinal anesthesia, followed for 12 hours postoperatively.
I
Intervention
Oral capsule gabapentin (600 mg) administered two hours prior to surgery.
C
Comparator
Placebo in the form of capsule multivitamin administered two hours prior to surgery.
O
Outcome
Postoperative pain assessed via visual analog scale (VAS) over 12 hours postoperatively.patient reported

Main Result

Absolute Event Rate: 2.1% vs 4.3%

p-value: p=<0.001

Pre-emptive oral gabapentin 600 mg significantly reduces postoperative pain and tramadol consumption in patients undergoing abdominal hysterectomy under spinal anesthesia.

Limitations

  • Small sample size
  • Short observation period of 12 hours

Cite This Study

Modak et al. (2016) conducted an RCT in Postoperative pain (n=60). Gabapentin vs. Placebo was evaluated on Mean number of rescue analgesic doses required over 12 hours postoperatively (p=<0.001). Pre-emptive oral gabapentin (600 mg) significantly reduced the mean number of rescue analgesic doses required (2.1 vs 4.3, p<0.001) compared to placebo in women undergoing abdominal hysterectomy.

synapsesocial.com/papers/6aa036da4ad318f403de8d30https://doi.org/10.18203/2320-6012.ijrms20162607
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Also Consider

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

  1. 1Effects of gabapentin on postoperative morphine consumption and pain after abdominal hysterectomy: A randomized, double‐blind trial2004 · 185 citations
  2. 2The Analgesic Effects of Gabapentin After Total Abdominal Hysterectomy2004 · 221 citations
  3. 3Gabapentin for the Symptomatic Treatment of Painful Neuropathy in Patients With Diabetes Mellitus: a Randomized Controlled Trial1999 · 153 citations
  4. 4A Randomized Study of the Effects of Single-dose Gabapentin versus  Placebo on Postoperative Pain and Morphine Consumption after Mastectomy2002 · 363 citations
  5. 5Preoperative Gabapentin Decreases Anxiety and Improves Early Functional Recovery from Knee Surgery2005 · 259 citations