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Preemptive local analgesia at vaginal hysterectomy: a systematic review

  • Introduction and hypothesis: We conducted a systematic review of the effectiveness of local preemptive analgesia for postoperative pain control in women undergoing vaginal hysterectomy. Methods: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and the Cochrane Database of Systematic Reviews were searched systematically to identify eligible studies published through September 25, 2019. Only randomized controlled trials and systematic reviews addressing local preemptive analgesia compared to placebo at vaginal hysterectomy were considered. Data were extracted by two independent reviewers. Results were compared, and disagreement was resolved by discussion. Forty-seven studies met inclusion criteria for full-text review. Four RCTs, including a total of 197 patients, and two SRs were included in the review. Results: Preemptive local analgesia reduced postoperative pain scores up to 6 h and postoperative opioid requirements in the first 24 h after surgery. Conclusion: Preemptive local analgesia at vaginal hysterectomy results in less postoperative pain and less postoperative opioid consumption.

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Metadaten
Author:Nadja TaumbergerORCiD, Anna-Maria Schütz, Klaus JeitlerORCiDGND, Andrea SiebenhoferORCiDGND, Holger SimonisORCiD, Helmar Bornemann-CimentiORCiDGND, Rene LakyORCiD, Karl TamussinoORCiDGND
URN:urn:nbn:de:hebis:30:3-754481
DOI:https://doi.org/10.1007/s00192-021-04999-1
ISSN:1433-3023
Parent Title (English):International Urogynecology Journal
Publisher:Springer
Place of publication:London [u.a]
Document Type:Article
Language:English
Date of Publication (online):2021/12/06
Date of first Publication:2021/12/06
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2023/09/06
Tag:local preemptive analgesia; postoperative pain; vaginal hysterectomy
Volume:33
Issue:9
Page Number:10
First Page:2357
Last Page:2366
HeBIS-PPN:512572232
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - CC BY - Namensnennung 4.0 International