Preemptive local analgesia at vaginal hysterectomy: a systematic review.

Female Humans Analgesia / methods Analgesics, Opioid / therapeutic use Hysterectomy Hysterectomy, Vaginal Pain, Postoperative / drug therapy
Local preemptive analgesia Postoperative pain Vaginal hysterectomy

Journal

International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041

Informations de publication

Date de publication:
09 2022
Historique:
received: 08 07 2021
accepted: 15 09 2021
pubmed: 7 12 2021
medline: 3 9 2022
entrez: 6 12 2021
Statut: ppublish

Résumé

We conducted a systematic review of the effectiveness of local preemptive analgesia for postoperative pain control in women undergoing vaginal hysterectomy. MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews were searched systematically to identify eligible studies published through September 25, 2019. Only randomized controlled trials and systematic reviews addressing local preemptive analgesia compared to placebo at vaginal hysterectomy were considered. Data were extracted by two independent reviewers. Results were compared, and disagreement was resolved by discussion. Forty-seven studies met inclusion criteria for full-text review. Four RCTs, including a total of 197 patients, and two SRs were included in the review. Preemptive local analgesia reduced postoperative pain scores up to 6 h and postoperative opioid requirements in the first 24 h after surgery. Preemptive local analgesia at vaginal hysterectomy results in less postoperative pain and less postoperative opioid consumption.

Identifiants

DOI: 10.1007/s00192-021-04999-1 PMID: 34870713 PMC: PMC9427873
pubmed: 34870713
doi: 10.1007/s00192-021-04999-1
pii: 10.1007/s00192-021-04999-1
pmc: PMC9427873
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2357-2366

Informations de copyright

© 2021. The Author(s).

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Auteurs

Nadja Taumberger (N)

Department of Obstetrics & Gynecology, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria. nadja.taumberger@medunigraz.at.
ORCID: 0000-0002-8969-7064

Anna-Maria Schütz (AM)

Department of Obstetrics & Gynecology, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria.

Klaus Jeitler (K)

Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Graz, Austria.

Andrea Siebenhofer (A)

Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, Graz, Austria.
Institute for General Practice, Goethe University Frankfurt am Main, Frankfurt, Germany.

Holger Simonis (H)

Department of Anesthesiology, Emergency Medicine and Critical Care, Medical University of Graz, Graz, Austria.

Helmar Bornemann-Cimenti (H)

Department of Anesthesiology, Emergency Medicine and Critical Care, Medical University of Graz, Graz, Austria.

Rene Laky (R)

Department of Obstetrics & Gynecology, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria.

Karl Tamussino (K)

Department of Obstetrics & Gynecology, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria.

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Classifications MeSH

Recherchemedicale.com › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Preemptive local analgesia at vaginal...
Recherchemedicale.com › Anesthésie et analgésie › Analgésie › Preemptive local analgesia at vaginal...
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Recherchemedicale.com › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Douleur postopératoire › Preemptive local analgesia at vaginal...