E-Posters-10004_Parameshwar

10004_Parameshwar

Pdf Summary

This study aimed to investigate the feasibility of using non-narcotic analgesics for postoperative pain management in patients undergoing perineal and vaginal reconstructive surgery. Currently, narcotic analgesics are commonly used for pain management, but they can cause various side effects that can increase morbidity. This study sought to find alternatives to narcotics that are still effective in providing adequate pain control.<br /><br />The study included women undergoing surgical repair for genitourinary fistula, rectovaginal fistula, large-grade perineal lacerations, and pelvic organ prolapse (POP) at a hospital in Uganda. The patients received a similar standard of care postoperative pain management regimen, including non-narcotic analgesic drugs such as acetaminophen, diclofenac, and ibuprofen. Pain levels were assessed using the Wong-Baker FACES scale and a review of analgesic requirements from medical records.<br /><br />The results showed that most patients experienced a decrease in pain scores over time. Initially, the mean pain scores for patients undergoing surgery for fistula, perineal lacerations, and POP were 3.46, 2.19, and 2.44, respectively. The final mean pain scores for these patients were 2.07, 0.56, and 1.62, indicating a decrease in pain. Three patients (4.7%) who underwent fistula repair required additional pain relief with meperidine.<br /><br />Based on the findings, the study suggests that non-narcotic analgesia may be feasible in providing postoperative pain relief for most patients undergoing vaginal and perineal reconstructive surgery. However, future studies should assess pain levels over a longer follow-up period. This research provides insights into surgical care delivery and pain management in a low-resource setting.<br /><br />In summary, this study explored the use of non-narcotic analgesics as an alternative to narcotics for postoperative pain management in patients undergoing perineal and vaginal reconstructive surgery. The results showed a decrease in pain scores for most patients, indicating the feasibility of this approach. Future studies should further investigate this pain management strategy and its long-term effects.

Keywords

non-narcotic analgesics

postoperative pain management

perineal reconstructive surgery

vaginal reconstructive surgery

narcotic analgesics

side effects

morbidity

acetaminophen

diclofenac

ibuprofen