postoperative_pain

Postoperative pain

Studying the characteristics of postoperative pain at such an early stage allows for improved management. It helps to predict, according to the type of surgery and the anaesthesia used, those patients in which higher VAS values may be seen and to better adapt analgesic therapy 1).

Despite advances in surgical and anesthesiology techniques, many patients continue to experience postoperative pain after lumbar disc operations

The administration of tramadol with paracetamol was more effective than tramadol alone for early acute postoperative pain therapy following lumbar discectomy. Therefore while adding paracetamol in early pain management is recommended, continuing paracetamol for the late postoperative period is not advised 2).

Epidural fibrosis and epidural adhesion after laminectomy are developed from adjacent dense scar tissue, which is a natural wound healing process 3) 4) 5) 6) , and ranked as the major contributor for postoperative pain recurrence after laminectomy or discectomy.


Postcraniotomy acute pain.

Postoperative pain treatment


1)
Cabedo N, Valero R, Alcón A, Gomar C. Prevalence and characterization of postoperative pain in the Postanaesthesia Care Unit. Rev Esp Anestesiol Reanim. 2017 Mar 28. pii: S0034-9356(16)30211-0. doi: 10.1016/j.redar.2016.11.006. [Epub ahead of print] English, Spanish. PubMed PMID: 28363327.
2)
Uztüre N, Türe H, Keskin Ö, Atalay B, Köner Ö. Comparison of Tramadol versus Tramadol with Paracetamol for efficacy of postoperative pain management in lumbar discectomy: a randomized controlled study. Int J Clin Pract. 2019 Sep 11. doi: 10.1111/ijcp.13414. [Epub ahead of print] PubMed PMID: 31508863.
3)
Alkalay RN, Kim DH, Urry DW, Xu J, Parker TM, Glazer PA. Prevention of postlaminectomy epidural fibrosis using bioelastic materials. Spine (Phila Pa 1976) 2003;28:1659–1665.
4)
Hsu CJ, Chou WY, Teng HP, Chang WN, Chou YJ. Coralline hydroxyapatite and laminectomy-derived bone as adjuvant graft material for lumbar posterolateral fusion. J Neurosurg Spine. 2005;3:271–275.
5)
Temel SG, Ozturk C, Temiz A, Ersozlu S, Aydinli U. A new material for prevention of epidural fibrosis after laminectomy: oxidized regenerated cellulose (interceed), an absorbable barrier. J Spinal Disord Tech. 2006;19:270–275.
6)
Yu CH, Lee JH, Baek HR, Nam H. The effectiveness of poloxamer 407-based new anti-adhesive material in a laminectomy model in rats. Eur Spine J. 2012;21:971–979.
  • postoperative_pain.txt
  • Last modified: 2021/06/07 13:07
  • by administrador