Postoperative pain after total abdominal hysterectomy and bilateral salpingo-oophorectomy depending on the type of anaesthesia administration

Abstract

Total abdominal hysterectomy and bilateral salpingo-oophorectomy is a surgical procedure frequently associated with severe or moderate postoperative pain. We conducted a retrospective study on 90 patients who underwent this procedure. One part of the patients (58; 64.4%) was administered bupivacaine 5% without intrathecal opioid administration. The other part (32; 35.6%) underwent general anaesthesia with endotracheal intubation. We evaluated the postoperative analgesic requirements based on the type of anaesthesia used and other factors like age, environment and body mass index. The findings indicated that the patients who received general anaesthesia with endotracheal intubation developed severe postoperative pain more frequently than those who underwent spinal anaesthesia (P = 0.018). A higher percentage of patients from rural areas scored lower in postoperative pain intensity on the numerical rating scale (P = 0.033). There was no statistically significant correlation regarding postoperative pain and age or body mass index.

Keywords

• Total abdominal hysterectomy
• postoperative pain
• spinal anaesthesia
• general anaesthesia