Postoperative pain management in obstetrics and gynecology

Journal Title: Journal of the Turkish-German Gynecological Association - Year 2020, Vol 21, Issue 4

Abstract

The efficiency and quality of postoperative pain management may be considered unsatisfactory in Europe, as well as in the United States. Notwithstanding our better understanding of the physiology of pain and the development of new analgesia procedures, the improvement in satisfaction of patients has not be enhanced to the same degree. Obstetrics and gynecology are no exception to this statement. In fact, obstetrics and gynecology are surgical departments in which patients experience the greatest severity of postoperative pain. Current concepts of postoperative pain management are largely based on the administration of systemic non-opioid and opioid analgesics, supplemented with regional analgesia procedures and/or peripheral nerve blockades and, in some cases, the administration of other pain-relieving pharmaceutical agents. Based on the existing body of evidence, it would be appropriate to develop procedure-related concepts of analgesia. The concepts are based on the special circumstances of the respective department, and the scheme of analgesia is aligned to the respective interventions. Generally, however, a surgeon’s individual experience in dealing with the procedures and substances could be more significant than the theoretical advantages demonstrated in preceding investigations.

Authors and Affiliations

Henning Ohnesorge, Veronika Günther, Matthias Grünewald, Nicolai Maass, İbrahim Alkatout

Keywords

Related Articles

Analyses of soluble endoglin and matrix metalloproteinase 14 using enzyme-linked immunosorbent assay in the diagnosis and assessment of severity of early- and late-onset pre-eclampsia

Objective: Abnormal trophoblastic invasion and impaired placentation have a crucial role in the etiopathogenesis of preeclampsia (PrE). Trophoblastic cells are involved in invading the maternal decidua and remodelling of...

Postoperative pain management in obstetrics and gynecology

The efficiency and quality of postoperative pain management may be considered unsatisfactory in Europe, as well as in the United States. Notwithstanding our better understanding of the physiology of pain and the developm...

The mammalian target of rapamycin protein expression in human granulosa cell tumors

Objective: To investigate the role of mammalian target of rapamycin (mTOR) in human granulosa cell ovarian tumors and the therapeutic effect of rapamycin in COV434 mitotic granulosa cell lines. Material and Methods: A r...

Obstetric and perinatal outcomes in pregnant women with Takayasu’s arteritis: single centre experience over five years

Objective: To study obstetric and perinatal outcomes among pregnant women with Takayasu arteritis (TA), attending our hospital for pregnancy and childbirth between January 2011 to December 2016. Material and Methods: Re...

Hysteroscopic treatment of symptomatic adenomyoma

Hysterectomy has been the definitive treatment option for symptomatic adenomyosis and/or adenomyoma when medical or other conservative treatments fail to control the symptoms. Conservative surgery has already developed a...

Download PDF file
  • EP ID EP691668
  • DOI 10.4274/jtgga.galenos.2020.2020.0024
  • Views 170
  • Downloads 0

How To Cite

Henning Ohnesorge, Veronika Günther, Matthias Grünewald, Nicolai Maass, İbrahim Alkatout (2020). Postoperative pain management in obstetrics and gynecology. Journal of the Turkish-German Gynecological Association, 21(4), -. https://www.europub.co.uk/articles/-A-691668