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[Peridural morphine for postoperative analgesia in patients following Milligan-Morgan surgery]

S Pappagallo1, L Ferri, M P Virdis

  • 1U.O. Anestesia e Rianimazione, USL n. 18, Presidio Ospedaliero di Empoli, Firenze.

Minerva Anestesiologica
|January 1, 1991
PubMed

Insights

Epidural morphine provided 10-12 hours of pain relief after Milligan-Morgan surgery. Urinary retention was the most common side effect in patients receiving this postoperative analgesia.

Area of Science:

  • Anesthesiology
  • Pharmacology

Context:

  • The Milligan-Morgan procedure is a surgical intervention requiring effective postoperative pain management.
  • Epidural analgesia is a common method for managing surgical pain.
  • Morphine is an opioid analgesic frequently used in epidural anesthesia.

Purpose:

  • To evaluate the efficacy of epidural morphine for postoperative analgesia.
  • To identify and quantify the side effects associated with epidural morphine administration.
  • To determine the duration of pain relief provided by epidural morphine in patients undergoing Milligan-Morgan surgery.

Summary:

  • A study involving 30 patients undergoing Milligan-Morgan surgery assessed the analgesic effects and side effects of epidural morphine (3 mg in 5 ml saline).
  • Patients experienced a mean pain-free duration of 10-12 hours following the administration of epidural morphine.
  • Urinary retention emerged as the most frequently observed side effect in the patient cohort.

Impact:

  • Findings contribute to understanding the clinical utility of epidural morphine for specific surgical procedures.
  • Highlights the need for monitoring urinary function in patients receiving epidural morphine postoperatively.
  • Informs clinical practice regarding the balance between analgesia and adverse events with epidural morphine.

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