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Continuous epidural morphine analgesia after radical operations upon the pelvis
R S Planner1, R W Cowie, A S Babarczy
1Mercy Maternity Hospital, East Melbourne, Australia.
Surgery, Gynecology & Obstetrics
|March 1, 1988
Summary
Continuous epidural morphine effectively managed postoperative pain in gynecologic cancer patients, achieving excellent pain control with minimal complications. This analgesic technique supports early patient mobilization and recovery.
Area of Science:
- Anesthesiology
- Oncology
- Pain Management
Background:
- Radical surgical treatment for gynecologic malignancies often results in significant postoperative pain.
- Effective pain management is crucial for patient recovery, rehabilitation, and quality of life.
Purpose of the Study:
- To evaluate the efficacy and safety of continuous epidural morphine for postoperative analgesia in patients undergoing radical surgery for gynecologic malignant disease.
- To assess pain control, side effects, and impact on patient recovery.
Main Methods:
- Sixty-seven patients with gynecologic malignant disease received continuous epidural morphine post-surgery.
- Dosage averaged 0.005 mg/kg/hr, with a mean total dose of 33.42 mg.
- Pain control, complications, and side effects were monitored.
Main Results:
- Excellent pain control was achieved in 88% of patients.
- No major complications were reported.
- Common side effects included nausea (33%), pruritus (25%), and vomiting (9%).
Conclusions:
- Continuous epidural morphine offers a safe and effective method for postoperative analgesia in gynecologic cancer surgery.
- The technique ensures a pain-free state, maintains consciousness and motor function, and promotes early physiotherapy.
- It is an ideal option for high-risk patients requiring intensive nursing care.