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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
CINE, Hidayet S. y UYSAL, Ece. Preemptive caudal anesthesia on back pain after lumbar discectomy: a randomized and controlled study. Cir. cir. [online]. 2023, vol.91, n.5, pp.641-647. Epub 30-Oct-2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.23000311.
Objective:
In this randomized and prospective research, we aimed to relieve surgical and muscle-related pain early after lumbar disc operations with caudal preemptive analgesia.
Materials and methods:
A total of 120 patients with single-level lumbar disc herniation were included in this study. The caudal epidural injection was performed for all patients 20 min before surgery. The patients were divided into three groups. Non-steroidal anti-inflammatory drugs or tramadol use were recorded. Pre-operative and post-operative pain was interpreted through a visual analog scale.
Results:
There was a difference between the groups in all post-operative measurements (p < 0.05), between Group 1 and Group 3, and between Group 2 and Group 3. A statistical significance has been achieved between the groups at the 1st h, 2nd h, 4th h, and 24th h (p < 0.05). The difference between the pain intensities of the patients at the 24th h and the 1st week was statistically significant in Groups 1 and 2 (p < 0.05). Evaluation of the effects of medical treatments reduced the severity of back pain and foot pain.
Conclusion:
The preemptive bupivacaine or in combination with methylprednisolone caudal injection is an effective and safe method to reduce post-operative pain and ameliorate functional capacity for the treatment of lumbar disc herniation.
Palabras llave : Preemptive analgesia; Caudal injection; Lumbar disc hernia; Post-operative pain; Visual analog scale.