engleski

INFLUENCE OF LOCAL INFILTRATION ANALGESIA ON POSTOPERATIVE PAIN IN ABDOMINOPLASTY PATIENTS

Th e aim of this study was the infl uence of local infi ltrating analgesia with levobupivacaine on acute postoperative pain in patients that underwent abdominoplasty in day surgery. Local infi ltration anesthesia is an injection of local anesthetic solution in painful areas. General anesthesia and tumescent fl uid solution were performed in all patients. Th e 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. Infi ltration 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 fi rst postoperative day discharged during 48 hours. Th e research has shown that the appearance of acute postoperative pain did not lead to prolonged stay in the facility for day surgery.

local infi ltration analgesia (LIA), abdominal wall, low pain, faster recovery.

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