Modern Postoperative Pain to the Treatment Approaches in Oncogynecology

Abstract

Effective postoperative analgesia is one of the successful rehabilitation conditions. Mechanisms of postoperative pain have been being studied by now, and more new analgesics and anesthesia techniques are introduced. The range of surgical interventions in oncogynecology is wide: from minimally invasive laparoscopic operations to radical hysterectomies involving healthy tissues and removal of regional lymph nodes. Postoperative pain following radical hysterectomy with an intensity of more than 6 on visual analogue scale (VAS) requires multimodal pain therapy. Inadequate pain management leads to its transformation to a chronic condition, a neuropathic pain, associated with not fully reversible changes in patient’s brain. This article is based on the results of a systematic literature review developed by PROSPECT (cooperation of surgeons and anaesthesiologists in developing guidelines for specific procedures and manipulations). It deals with optimization of pain management highlighting new post-operative care principles.