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conferenceseries
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Volume 6, Issue 5 (Suppl)
J Pain Relief, an open access journal
ISSN: 2167-0846
Pain Management 2017
October 05-06, 2017
5
th
International Conference and Exhibition on
October 05-06, 2017 London, UK
Pain Research And Management
Thoracic epidural anesthesia and analgesia reduce postoperative ileus after retroperitoneal
laparoscopic urological surgery
Chih Jen Hung, Kuang Hung Chen
and
Chih Chen Wu
Taichung Veterans General Hospital, Taiwan
Statement of the Problem:
Postoperative ileus (POI) is a transient impairment of bowel motility following surgery. The etiology
of POI is complex; it is primarily associated with the surgical stress response, an acute inflammatory response associated with
manipulation and endogenous opioids secreted within the gastrointestinal tract in response to surgical trauma. The anesthetic
management routines (e.g., opioid-sparing anesthesia and analgesia with epidural anesthesia and analgesia) that may result
in reduced time to gastrointestinal recovery and hospital length of stay. The present report is to assess the effect of thoracic
epidural anesthesia and analgesia for retroperitoneoscopic surgery on POI for urologic procedures.
Methodology &Theoretical Orientation:
A total of 34 patients underwent retroperitoneoscopic nephrectomies were recruited
for analysis.
Findings:
The resumption of oral intake occurred more quickly in the group with thoracic epidural anesthesia and analgesia
than the group without epidural anesthesia and analgesia after operation. The hospital stay and total convalescence time were
similar for the two groups.
Conclusion & Significance:
The retroperitoneoscopic nephrectomy under thoracic epidural anesthesia and analgesia reduces
the time to resuming normal oral intake for patients postoperatively. However, the retroperitoneoscopic nephrectomy does not
significantly improve the length of hospital stay.
hung@vghtc.gov.twJ Pain Relief 2017, 6:5(Suppl)
DOI: 10.4172/2167-0846-C1-015