Regional anaesthesia for postoperative pain management after liver resection
Anesthesiology
Darius Trepenaitis
Tadas Česnaitis
Andrius Macas
Published 2012-10-01
https://doi.org/10.6001/actamedica.v19i3.2434
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Keywords

postoperative pain management
infiltration analgesia
local anesthetic
levobupivacaine

How to Cite

1.
Trepenaitis D, Česnaitis T, Macas A. Regional anaesthesia for postoperative pain management after liver resection. AML [Internet]. 2012 Oct. 1 [cited 2024 Mar. 29];19(3):126-9. Available from: https://www.journals.vu.lt/AML/article/view/21534

Abstract

Background. Pain is the most common complication in the postoperative period. If adequate treatment is not taken, it can transform to chronic pain. Postoperative pain brings a lot of social, psychological and financial problems for patients and their families. Materials and methods. This prospective study included 30 patients after laparatomic liver resection operation. Patients were randomly assign­ ed to Infiltrated or Control groups. An infiltration of 40 ml levobupivacaine 0.25% solution to the operation cut edges was performed to the Infiltrated group. The pain was evaluated using the numerical rating scale after 2, 5, 12, 24, 48 hours and 1 month after the operation. Our aim was to determine the effect of local anesthesia in the operation wound. The total usage of morphine and any side effects were registered. Results. A statistically significant reduction in pain was observed in the Infiltrated group in all evaluation periods. Opioids usage was higher in the Control group almost by 4 times and adverse effects were 9 to 1 compared to the Infiltrated group. Conclusions. Surgical wound infiltration with local anesthetic for postoperative pain management after liver resection operations has a positive effect on postoperative pain reduction and leads to lesser usage of opioid analgetics. As a result, there is a less chance of opioids induced adverse effects.
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