Oxycodone Use During the Postoperative Period After Hysterectomy for Benign Indications

被引:0
作者
Miranne, Jeannine M. [1 ]
Gabriel, Iwona [1 ,2 ]
Cohen, Sarah L. [3 ]
Abdalian, Talar [1 ]
Ajao, Mobolaji O. [4 ]
Minassian, Vatche A. [1 ]
机构
[1] Harvard Med Sch, Brigham & Womens Hosp, Div Urogynecol, 75 Francis St, Boston, MA 02115 USA
[2] Med Univ Silesia, Dept Gynecol Obstet & Gynecol Oncol, Bytom, Poland
[3] Mayo Clin, Div Minimally Invas Gynecol Surg, Dept Gynecol, Rochester, MN USA
[4] Harvard Med Sch, Brigham & Womens Hosp, Div Minimally Invas Gynecol Surg, Boston, MA 02115 USA
来源
FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY | 2022年 / 28卷 / 02期
关键词
hysterectomy; minimally invasive hysterectomy; opioid medication; postoperative pain control; postoperative opioid use; LAPAROSCOPIC HYSTERECTOMY; ABDOMINAL HYSTERECTOMY; PAIN;
D O I
10.1097/SPV.0000000000001084
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives The objective of this study was to estimate the amount of oxycodone tablets required for pain control in the 2-week postoperative period after laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH) for benign disease. Methods We conducted a prospective cohort study of English-speaking women 18 years or older undergoing hysterectomy for benign indications. Participants completed a pain survey at baseline and daily for 2 weeks postoperatively. In addition, they recorded the number of oxycodone tablets and other pain medications taken daily for 2 weeks. The primary outcome was the median number of oxycodone tablets (5 mg) consumed after LH or VH during 2 weeks postoperative. Results Eighty-one women underwent VH and 82 underwent LH. Women who underwent VH were older (mean +/- SD, 64.2 +/- 10.3 years vs 47.5 +/- 7.7 years), more parous (2 [interquartile range (IQR), 2-3] vs 2 [IQR, 1-2]), and less likely to be sexually active (51.9% vs 79.3%, P < 0.02). Women in the VH group also had significantly lower baseline pain levels (0 [IQR, 0-1] vs 1 [IQR, 0-4], P < 0.001). All VH participants had surgery for prolapse, whereas only 12.2% in the LH group had surgery for this indication (P < 0.001). Most in the LH group had surgery for fibroids (61%) or abnormal uterine bleeding (15.9%). Women in the VH group consumed significantly less oxycodone tablets postoperatively (median, 4.5 [IQR, 1-9] vs 7 [IQR, 2-18]; P = 0.047) and took oxycodone for less days after discharge (median, 1 [IQR, 0-3] vs 3 [IQR, 1-6]; P < 0.001). Conclusions Women consume less oxycodone after minimally invasive hysterectomy than previously thought. Those who undergo VH may consume less oxycodone than those who undergo LH.
引用
收藏
页码:90 / 95
页数:6
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