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- W2892088483 abstract "Study Objective 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 El Hachem L Small E Chung P et al. Randomized controlled double-blind trial of transversus abdominis plane block versus trocar site infiltration in gynecologic laparoscopy. Am J Obstet Gynecol. 2015; 212: 182.e1-182.e9 Abstract Full Text Full Text PDF PubMed Scopus (37) Google Scholar , 2 Genover E Subira C Iglesia M et al. Infiltration of the uterosacral ligaments with a long-acting local anesthetic in patients undergoing vaginal hysterectomy. Prog Obstet Ginecol. 2006; 49: 473-478 Crossref Scopus (4) Google Scholar , 3 Mishra M Mishra SP Transversus abdominis plane block: the new horizon for postoperative analgesia following abdominal surgery. Egypt J Anaesth. 2016; 32: 243-247 Abstract Full Text Full Text PDF Scopus (6) Google Scholar ]. However, there is limited information on the techniques for preemptive analgesia [ 4 Long JB Eiland RJ Hentz JG et al. Randomized trial of preemptive local analgesia in vaginal surgery. Int Urogynecol J. 2009; 20: 5-10 Crossref PubMed Scopus (26) Google Scholar , 5 O'Neal MG Beste T Shackelford DP Utility of preemptive local analgesia in vaginal hysterectomy. Am J Obstet Gynecol. 2003; 189: 1539-1542 Abstract Full Text Full Text PDF PubMed Scopus (44) Google Scholar ]. Design 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. Setting Academic Medical Center Interventions Relevant abdominopelvic neuroanatomy is reviewed. This is followed by a demonstration of the preemptive analgesia techniques based on neuroanatomy principles. Conclusion 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." @default.
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- W2892088483 date "2019-02-01" @default.
- W2892088483 modified "2023-10-18" @default.
- W2892088483 title "Techniques for Preemptive Analgesia in Gynecologic Surgery" @default.
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- W2892088483 doi "https://doi.org/10.1016/j.jmig.2018.09.768" @default.
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