Intrethecal Morphine for Postoperative Palu Relief in Patients with Hemorrholdectomy
Abstract
Our study was performed to evaluate postoperative analgesia and side effects of intrathecally injected morphine in the patients with hemorrhoidectomy. 75 adult patients were divided into three groups. Each group consisted of 25 patients. Group I consisted of control and Group II, Group III intrathecally injected morphine group. Surgical intervention of Group I and Group III were induced with general anesthesia, but Group II under spinel anesthesia. In morphine administred patients, following subarachnoid puncture, 1 mg morphine chlorur was injected into subarachnoid space before surgical procedures. Patients were carefully observed until the first postoperative 72 hours for the severity of pain at the site of surgery none, mild ,moderate, severe, very severe), time of onset of severe postoperative pain, the additional need of analgesics (dose, time of administration) and side effects (nausea-vomiting, hypotension, respiratory depression, miyosis, somnolans, urine retension, pruritus). The data were evaluated statistically. Results indicate that intrathecally administred morphine is effective in postoperative pain relief and reduces the need of postoperative analgesic. However, this practice may cause some side effects. The most frequent side effects were urine retension and nausea-vomiting. Regarding these complications, it appears that using intrathecal morphine should be only performed in the specific units.
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References
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