OUTCOME OF INTRAVENOUS ACETAMINOPHEN IN PAIN RELIEF AMONG UNDERGOING ABDOMINAL HYSTERECTOMY

Muhammad Asgher ,Hamid Sarwar ,Muhammad Zia

doi:10.7176/jmpb/62-10

Abstract

Objective; To determine the efficacy of intravenous acetaminophen for postoperative pain after abdominal hysterectomy. Material and Methods; A total of 114 women undergoing abdominal hysterectomy were taken in this study. The study was conducted from June 2018 to May 2019 at department of Anesthesiology, Nishtar Hospital, Multan. Results; Our study comprised of 114 ladies undergoing abdominal hysterectomy, mean age of the study cases was 54.13 ± 6.89 years (with minimum age of the patients was 39 years while maximum age was 68 years). Majority of our study cases i.e. 92 (80.7 %) had parity more than 3 and American Society of Anesthesiology (ASA) score level 1 in 93 (81.6%). Sixty one (53.1%) belonged to rural areas, while mean duration of surgery was 72.80 ± 11.32 minutes. Mean BMI level in our study cases was noted to be 23.98 ±4.17 Kg/m 2 and obesity was present in 34 (29.8%) of our study cases and Efficacy in terms of pain reduction was 73.7%. Conclusion; Our study results support the use of intravenous acetaminophen (IVA) for pain management in patients undergoing abdominal hysterectomy. Intravenous acetaminophen is safe, reliable and effective for the pain management in postoperative abdominal hysterectomy patients which was associated with shorter hospital stay and cost effective for the suffering families. No adverse reactions were noted in this study with the use of intravenous acetaminophen. Keywords; Intravenous acetaminophen, pain relief, Abdominal Hysterectomy. DOI : 10.7176/JMPB/62-10 Publication date: December 31 st 2019

Highlights

Abdominal hysterectomy is one of the most common surgeries performed in gynecology
Hysterectomy can be performed in several different approaches: vaginal, laparoscopic and open abdominal
The level of pain associated with hysterectomy as well as the length of the period of convalescence depends on the surgical approach

Summary

Introduction

Abdominal hysterectomy is one of the most common surgeries performed in gynecology. Abdominal hysterectomy is performed for malignant as well as benign indications such as uterine leiomyoma, persistent vaginal bleeding, or pelvic organ prolapse. The open abdominal hysterectomy is considered a major surgery and is associated with a medium to high pain level.[1] Repeated boluses or infusion) during the entire recovery period.[3] Pain management can take many forms, systemic opioid analgesics and patient-controlled analgesia remain at the forefront of pain management, this class of medications is associated with multiple common adverse reactions (pruritus, nausea, vomiting, constipation, respiratory complications, urinary retention, and altered mentation).[4] Nonsteroidal antiinflammatory drugs (NSAIDs), ketamine, acetaminophen, and local anesthetics have all been reported to reduce postoperative opioid consumption.[5]

Results

Conclusion