Korean J Anesthesiol.  1998 Feb;34(2):383-388. 10.4097/kjae.1998.34.2.383.

The Effect of Analgesic Technique on Recovery of Patients after Colon Surgery

• Han KC
• Son SC

• KMID: 2236880
• DOI: http://doi.org/10.4097/kjae.1998.34.2.383

Abstract

BACKGROUND
Different types of analgesia may affect the rate of recovery of gastrointestinal function after colon surgery.
METHODS
Sixty-six patients undergoing colon surgery which including right and left hemicolectomy, anterior resection and Miles` operation were categorized into four groups. All groups received a general anesthesia. Control group, in surgical ward the patients received adjuvant analgesics on request postoperatively. Group M received a intraoperative bolus epidural morphine followed by an infusion of morphine. Group MB received a intraoperative bolus of epidural morphine followed by an infusion of bupivacaine and morphine. Group PCA received a intraoperative bolus of intravenous morphine followed by patient- controlled morphine postoperatively.
RESULTS
Ambulation, oral feeding and duration of hospitalization were not differed among groups. Group MB, recovered gastrointestinal function approximately 30 hours earlier than Group PCA (p<0.05).
CONCLUSION
Epidural analgesia with bupivacaine and morphine accelerated postoperative recovery of gastrointestinal function.

Keyword

Analgesia: pain; patient-controlled; postoperative; Analgesics: epidural; morphine; Anesthetics, local: bupivacaine

MeSH Terms

Analgesia
Analgesia, Epidural
Analgesics
Anesthesia, General
Bupivacaine
Colon*
Hospitalization
Humans
Morphine
Passive Cutaneous Anaphylaxis
Walking
Analgesics
Bupivacaine
Morphine