Improved Postoperative Pain Control for Cytoreductive Surgery in Women With Ovarian Cancer Using Patient-Controlled Epidural Analgesia

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Tak Kyu OhSang-Yoon Park

Abstract

Many studies have compared different methods of postoperative pain management in abdominal laparotomy patients; however, the conclusions have been inconsistent and controversial. This study aimed to compare the pain scores and complications of patients who underwent cytoreductive surgery for ovarian cancer and used either patient-controlled epidural analgesia (PCEA) or patient-controlled intravenous analgesia (PCA) for postoperative pain management. We hypothesized that PCEA would be superior to PCA for postoperative pain management in ovarian cancer surgery. The medical records of women who underwent ovarian cancer surgery in 2014 were reviewed retrospectively. Pain scores for postoperative days (PODs) 0 to 5 days and the incidence of complications were examined and compared in patients who received PCEA and PCA. Means were compared using an independent sample t test or Wilcoxon rank sum test, and proportions were compared using Fisher exact test or a χ(2) test at each time point. A mixed-effects model was applied to determine correlations among repeated measurements. A P value less than 0.05 was considered significant. Of the 105 study patients, 38 received PCEA and 67 received PCA. Pain scores were significantly lower in the...Continue Reading

References

Jun 1, 1997·American Journal of Surgery·S L TsuiJ Wong
Jan 5, 2002·Journal of the American College of Surgeons·N Gillette-ClovenM F Kohler
Nov 13, 2003·JAMA : the Journal of the American Medical Association·Brian M BlockChristopher L Wu
May 22, 2007·The British Journal of Surgery·E MarretUNKNOWN Postoperative Pain Forum Group
Jan 13, 2009·Gastroenterology·Sven MullerUNKNOWN Zurich Fast Track Study Group
May 6, 2009·International Journal of Colorectal Disease·Nikolaos GouvasParis P Tekkis
Oct 30, 2013·Journal of Gynecologic Oncology·Myong Cheol LimSang-Yoon Park
Dec 3, 2014·Gynecologic Oncology·Madeleine Courtney-BrooksLinda R Duska

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Methods Mentioned

BETA
PCA

Software Mentioned

SPSS
SAS

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