Combined impact of local anaesthetic infiltration through wound catheter and epidural analgesia following surgical hepatectomy: a meta-analysis.
Wideochir Inne Tech Maloinwazyjne
; 19(1): 25-31, 2024 Mar.
Article
en En
| MEDLINE
| ID: mdl-38974756
ABSTRACT
Introduction:
A meta-analysis was performed to examine the effects of wound catheter (WC) local anaesthetic infiltration (LAI) and epidural analgesia (EA) in open hepatectomy (OH). Material andmethods:
A systematic literature review was performed, which found 350 subjects with OH at the baseline of the studies; 159 of them were treated with WC local anaesthetic infiltration, and 191 used EA.Results:
WC LAI substantially reduced the functional recovery time (MD = -0.64; 95% CI, -1.02 to -0.26, p < 0.001) and increased the pain score on the second postoperative day (MD = 0.25; 95% CI 0.10-0.40, p < 0.001) compared to EA in OH patients. WC LAI did not vary from EA in OH patients in second postoperative opiate use (MD = -14.86; 95% CI -32.88 to 3.16, p = 0.11) or overall complication rate (OR = 0.66; 95% CI 0.41-1.04, p = 0.07).Conclusions:
WC LAI showed a non-significant difference in opiate consumption on the second postoperative day and in the overall complication rate, compared with EA, but it showed a lower functional recovery time and higher pain score.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Wideochir Inne Tech Maloinwazyjne
Año:
2024
Tipo del documento:
Article
País de afiliación:
China
Pais de publicación:
Polonia