СРАВНИТЕЛЬНАЯ ОЦЕНКА ЭФФЕКТИВНОСТИ ЛЕЧЕНИЯ РАНЕВОЙ БОЛИ С ПРИМЕНЕНИЕМ ТРАНСМЕМБРАННЫХ ТЕХНОЛОГИЙ ПОСЛЕ СРЕДИННОЙ ЛАПАРОТОМИИ

Abstract

ntroduction. Pain syndrome remains an urgent problem for patients who have undergone median laparotomy in the early postoperative period. The use of modern opioid analgesics, in addition to effectively combating postoperative pain, has a number of negative systemic effects on the body, which requires the search for new methods of analgesia. Aim. To determine the effectiveness of the author’s device using semipermeable membranes for anesthesia of the median laparotomy wound in relation to the relief of pain syndrome in patients who have undergone abdominal surgery, in comparison with classical parenteral analgesia. Materials and methods. We analyzed the intensity of wound pain syndrome in 70 patients underwent a median laparotomy surgery for injuries and acute abdominal surgical diseases. A control group included 35 people. An experimental group had the similar number of patients. The control group received pain relief in the early postoperative period with systemic analgesics – opioid and non-steroidal anti- inflammatory drugs. In the study group, during the operation, the device was implanted in patients retromuscularly according to the author’s method using a semipermeable membrane, through which a transmembrane blockade of the sheaths of the rectus abdominis muscles was carried out with local anesthetics. Results and discussion. Opioid analgesics were not administered to all patients of the study group in the postoperative period due to a mild pain syndrome. Conclusion. The device for analgesia of the median laparotomy wound with the use of a semipermeable membrane provides relief of pain syndrome, which allows abandoning opioids and limiting the use of non-steroidal anti- inflammatory drugs significantly.