Resumo

LUNA-HERNANDEZ, Pamela; CHAPARRO-ZEPEDA, Víctor Javier; CISNEROS-RIVAS, Francisco Javier  e  ZAMORA-MERAZ, Rafael Héctor Rogerio. Analgesia in hysterectomy. Rev. mex. anestesiol. [online]. 2019, vol.42, n.3, pp.200-200.  Epub 13-Set-2021. ISSN 0484-7903.

Postoperative pain after hysterectomy is moderate to severe. However, the intensity of pain and recovery depends on the surgical technique: hysterectomy open vs hysterectomy laparoscopic. In both, the pain is the visceral and the somatic type. The analgesic management starts with the evaluation, the planning of the anesthetic technique and the post-operative analgesia. The analgesia provided by the epidural block with local anesthetic and opioid, is superior to the subarachnoid block in open surgery, the analgesia must be complemented with NSAID/COX-2 and/or paracetamol, plus rescue doses of a weak opioid. Only in the case of laparoscopic hysterectomy, the recommended anesthetic technique is balanced general anesthesia, in addition to patient-controlled intravenous analgesia (PCA). The use of regional techniques such as: transversus abdominis plane block (TAP) and quadratum lumborum block (QLB) are the analgesic strategies that sparing opioid and early recovery (full version visithttp://www.painoutmexico.com) .

Palavras-chave : Postoperative analgesia; hysterectomy pain.