Bedih BALKAN, Gökhan DEMİRAYAK, Halil ÇETİNGÖK, Cihan COMBA, Yusuf Ziya YENER, Gülsüm Oya HERGÜNSEL, İsa Aykut ÖZDEMİR

Comparison of epidural and intravenous route for acute and chronic postoperative pain control in patients with gynecological malignancy

Objectives: This study compared the effects of patient-controlled epidural and intravenous analgesia on acute and chronic postoperative pain in patients who were operated on for gynecological malignancy. Methods: Postoperatively, patient-controlled analgesia was administered via epidural route to Group 1 and the intravenous route to Group 2. Pain was evaluated using the Visual Analog Scale (VAS) in the acute phase at postoperative 24 hours and at 6 months in the chronic phase. Results: The VAS scores at 24 hours were lower in Group 1 than in Group 2 (3.29 vs 3.93; p0.05). There was no significant difference in the Leeds Assessment of Neuropathic Symptoms and Signs pain scale scores at 6 months (p>0.05). Conclusion: The results showed that epidural and intravenous analgesia had a similar effect regarding the chronicity of pain but better outcomes were achieved with epidural analgesia in the acute stage.

Jinekolojik maligniteli hastalarda akut ve kronik postoperatif ağrı için epidural ve intravenöz yolun karşılaştırılması

Amaç: Jinekolojik malignite nedeniyle ameliyat edilen hastalarda epidural veya intravenöz hasta kontrollü analjezinin akut ve kronik postoperatif ağrı üzerine etkisini karşılaştırmak. Gereç ve Yöntem: Postoperatif hasta kontrollü analjezi Grup 1 için epidural yol ve Grup 2 için intravenöz yoldan uygulandı. Ağrı, akut fazda postoperatif 24. saat ve kronik fazda 6. ayda Vizüel Analog Skoru (VAS) kullanılarak değerlendirildi. Bulgular: 24. saatte VAS skoru Grup 1’de Grup 2’ye göre daha düşük bulundu (3.29 ve 3.93; p0.05). Sonuç: Bizim sonuçlarımız, akut dönemde epidural analjezi ile daha iyi sonuçlar elde edilebilmesine rağmen epidural ve intravenöz analjezinin ağrının kronikliği için benzer etkilere sahip olduğunu gösterdi.

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