Gel Pack Reduced Postoperative Pain in Benign Gynecologic Surgery: A randomized controlled trial
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Abstract
Objective: To examine the effectiveness of gel pack for reducing postoperative pain in patient who undergoes exploratory laparotomy for benign gynecologic surgery.
Materials and Methods: Twenty eight participants who underwent benign gynecological surgery under general anesthesia at Khon Kaen Hospital in March 2016 were randomized by computer generated into two groups: gel pack group (N=14) and control group (N=14). Gel pack was applied at 2 hours after operation for 20 minutes and pain score was measured using visual analog scale (VAS) at 2 (baseline), 6 and 24 hours, respectively. The VAS was divided into two grades by pain-intensity; mild (VAS<4), and moderate to severe (VAS≥4). The comparison of pain- intensity was analyzed by Fisher exact test (p<0.05).
Results: Gel pack was statistically significant reduced postoperative pain from moderate-severe pain to mild pain intensity at 6 hours compared with control group (11 to 8 cases versus 14 to 14 case, p=0.01, 95%CI 0.03-0.89). There was no statistically significant difference in opioid consumption, hospital stay and wound infection between two groups.
Conclusions: Gel pack can reduce postoperative pain at 6 hour in benign gynecological operation without complication.
Keywords: Gel pack, exploratory laparotomy, benign gynecologic surgery, postoperative pain
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References
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