Comparative evaluation of methods of anesthesia during operations in gynecologic oncology

Khusainova I. I.
¹²

1 - Kazan State Medical University
2 - City Clinical Hospital №7, Kazan

Khusainova I. I., e-mail: Ilyuzovich@mail.ru

The article deals with the problems of anesthesia in operations of gynecologic oncology. 421 patients were included in this study with simple hysterectomy. Divided into 3 groups, the division into groups was carried out in accordance with the applicable methods of intraoperative analgesia. In all study groups the method of multimodal balanced analgesia was used. In group 1 additionally used epidural analgesia, Group 2 was the control, without epidural analgesia. In group 3 was used adjuvant analgesic gabapentin before surgery at a dose of 600 mg. In operation, a significant difference was detected between groups by the presence of intensity of pain in the postoperative period for the 72 hours after awakening. The study confirms the efficacy of patient-controlled epidural analgesia by calculating the profile of pain intensity on a visual analog scale at rest and when coughing. It is proven to reduce the need for opioid analgesics in the stages of surgery and in the postoperative period, and also decrease the risk of postoperative nausea and vomiting after surgery in the gabapentin group with laparoscopic access.

postoperative pain, balanced multimodal analgesia, epidural analgesia, gabapintin

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