World Journal of Laparoscopic Surgery

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VOLUME 1 , ISSUE 3 ( September-December, 2008 ) > List of Articles

RESEARCH ARTICLE

Thoracic Epidural versus Morphine Patient Controlled Analgesia After Laparoscopic Colectomy

RJ Dennis, P Mills

Citation Information : Dennis R, Mills P. Thoracic Epidural versus Morphine Patient Controlled Analgesia After Laparoscopic Colectomy. World J Lap Surg 2008; 1 (3):49-52.

DOI: 10.5005/jp-journals-10007-1071

Published Online: 01-12-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Despite the benefits of the laparoscopic approach to colorectal surgery patients still experience significant levels of pain post- operatively. This study aimed to compare the use of thoracic epidural vs. morphine patient controlled analgesia in the management of pain after laparoscopic colorectal surgery. A retrospective analysis of hospital records was performed for 16 patients undergoing laparoscopic colorectal surgery (8 thoracic epidural, 8 patient controlled analgesia). Visual rating scale pain scores (0 – 10) were significantly lower for patients managed with thoracic epidural in recovery (mean [95% CI]) (0 vs. 5.3 [3.6-6.9]), at 6 hours (1 [0-2.0] vs. 5.4 [4.2-6.5]), 12 hours (0.4 [0-1.1] vs. 4.4 [3.3-5.4]) and 24 hours (1.3 [0-2.8] vs. 5.9 [4.9- 6.9]). Thoracic epidural offers the optimal analgesia and quality of care to the patient following laparoscopic colectomy.


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