Universität zu Köln

Noe, Guenter Karl ORCID: 0000-0001-5673-9689, Schiermeier, Sven, Hatzmann, Wolfgang, Soltesz, Stefan, Spuentrup, Carolin and Anapolski, Michael (2014). Pain Medication Requirements After Sacropexy and Combination Interventions. JSLS-J. Soc. Laparoendosc. Surg., 18 (3). MIAMI: SOC LAPAROENDOSCOPIC SURGEONS. ISSN 1086-8089

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Abstract

Background and Objectives: Laparoscopic surgery is associated with reduced morbidity, and postoperative pain is reduced. The aim of this study was to assess postoperative pain intensity, analgesic requirements, and the influence of cofactors after laparoscopic sacral colpopexy. Methods: The study assessed 287 patients treated with laparoscopic sacropexy for genital prolapse with a Pelvic Organ Prolapse Quantification grade >1. Patients were asked to evaluate their pain postoperatively using a 4-point verbal pain rating scale. In addition, medical records were analyzed regarding the requirement for analgesic medication. Results: Patients distinguished between abdominal pain and shoulder pain after laparoscopy. Abdominal pain reached maximum severity on day 1 and showed a good response to nonsteroidal antiphlogistics, whereas shoulder pain was rarely found (6.27%). Of the patients, 38% required no pain treatment or required 1 dose at most. The need for pain medication reached its climax on day 1 and decreased during the 5 following days. Non-opioid analgesics provided a sufficient therapeutic effect. Conclusion: Laparoscopic sacropexy is associated with a moderate degree of postoperative pain. Non-opioid analgesics should be preferred as first-line therapy. The typical shoulder-tip pain showed only a low prevalence in our study group. From our point of view, the low rate of shoulder-tip pain corresponded with the low intra-abdominal carbon dioxide pressure.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Noe, Guenter Karl UNSPECIFIED orcid.org/0000-0001-5673-9689 UNSPECIFIED Schiermeier, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Hatzmann, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Soltesz, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Spuentrup, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Anapolski, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-434181
DOI:	10.4293/JSLS.2014.00036
Journal or Publication Title:	JSLS-J. Soc. Laparoendosc. Surg.
Volume:	18
Number:	3
Date:	2014
Publisher:	SOC LAPAROENDOSCOPIC SURGEONS
Place of Publication:	MIAMI
ISSN:	1086-8089
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LAPAROSCOPIC CHOLECYSTECTOMY; PRESSURE PNEUMOPERITONEUM; PLASMINOGEN-ACTIVATOR; SHOULDER PAIN; ROPIVACAINE; SURGERY; IMPACT Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43418