Original scientific paper
https://doi.org/10.20471/acc.2019.58.s1.03
Influence of Local Infiltration Analgesia on Postoperative Pain in Abdominoplasty Patients
Dinko Bagatin
; Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia; Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer Unive
Tomica Bagatin
; Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia; Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer Unive
Johann Nemrava
; Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia; Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer Unive
Martina Šarec Ivelj
; Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia
Judith Deutsch
; Department of Anaesthesiology and Pain therapy at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia
Kata Šakić
; Department of Anaesthesiology and Pain therapy at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic “Bagatin”, Zagreb, Croatia; Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer University in Osijek, Osij
Abstract
The aim of this study was the influence of local infiltrating analgesia with levobupivacaine on acute postoperative pain in patients that underwent abdominoplasty in day surgery. Local infiltration anesthesia is an injection of local anesthetic solution in painful areas. General anesthesia and tumescent fluid solution were performed in all patients.
The study included 55 patients within age range from 20 to 72 years old. Study was conducted from January 2016 to February 2019. Postoperative pain after abdominoplasty was evaluated. LIA were performed before closure of abdominal wall after resection of skin and subcutaneous fat in lower part of abdominal wall. Infiltration was performed after plication of rectus abdominis muscles with single shot of 40 ml 0.25 % Bupivacaine. Postoperative pain was reduced in the abdominal wall and in the wound area around umbilicus and in lower abdomen scar after waking from general anesthesia. Occurrence of acute postoperative was noticed in all participants. 85% of patients required an additional dose of analgesics and only in 3% of patients was required during the first postoperative day discharged during 48 hours.
The research has shown that the appearance of acute postoperative pain did not lead to prolonged stay in the facility for day surgery.
Keywords
local infiltration analgesia (LIA); abdominal wall; low pain; faster recovery
Hrčak ID:
224144
URI
Publication date:
1.7.2019.
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