Department of Gynecologic Surgery, Mayo Clinic Arizona, Phoenix, Arizona (all authors).
Department of Gynecologic Surgery, Mayo Clinic Arizona, Phoenix, Arizona (all authors)..
J Minim Invasive Gynecol. 2019 Feb;26(2):197. doi: 10.1016/j.jmig.2018.09.768. Epub 2018 Sep 18.
To provide surgeons with techniques for preemptive analgesia during minimally invasive gynecologic surgery. Postoperative pain management is an important component of patient care after gynecologic surgery. There have been numerous advances in pain management, including studies that show that preoperative administration of analgesics decreases postoperative pain scores and narcotic medication requirements [1-3]. However, there is limited information on the techniques for preemptive analgesia [4,5].
An instructional video showing a variety of preemptive analgesia techniques and the corresponding neuroanatomy (Canadian Task Force classification III). Mayo Clinic Institutional Review Board approval was not required for this video article.
Academic Medical Center INTERVENTIONS: Relevant abdominopelvic neuroanatomy is reviewed. This is followed by a demonstration of the preemptive analgesia techniques based on neuroanatomy principles.
Techniques for preemptive analgesia are simple and effective. These tools can be used for patients undergoing gynecologic surgeries via a vaginal or abdominal approach and can help optimize postoperative pain and narcotic usage.
为外科医生提供微创妇科手术中预防性镇痛的技术。术后疼痛管理是妇科手术后患者护理的重要组成部分。疼痛管理取得了许多进展,包括研究表明术前给予镇痛药可降低术后疼痛评分和阿片类药物需求[1-3]。但是,关于预防性镇痛的技术信息有限[4,5]。
展示各种预防性镇痛技术和相应神经解剖结构的教学视频(加拿大任务组分类 III)。制作本视频文章不需要梅奥诊所机构审查委员会的批准。
学术医疗中心
复习相关的腹盆腔神经解剖结构。然后根据神经解剖学原理演示预防性镇痛技术。
预防性镇痛技术简单有效。这些工具可用于经阴道或腹部途径接受妇科手术的患者,并有助于优化术后疼痛和阿片类药物的使用。