In Terms of Analgesic Requirements — A Comparison Between Laparoscopic Nephrectomy and Open Nephrectomy

Authors

  • Abdul Matin Anamur Rashid Choudhury Associate Professor, Department of Urology, National Institute of Kidney diseases and Urology (NIKDU), Dhaka, Bangladesh
  • Tohid Mohammad Saiful Hossain Associate Professor, Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
  • Tasmina Parveen Professor, Department o Physiology, Uttara Adhunik Medical College, Uttara, Dhaka, Bangladesh
  • Mohammed Mizanur Rahman Associate Professor, Department of Urology, Patuakhali Medical College, Patuakhali, Bangladesh
  • Md Safiul Alam Babul Assistant Professor & RS, Department of Urology, National Institute of Kidney diseases and Urology (NIKDU), Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bju.v23i1.50286

Keywords:

Laparoscopic nephrectomy, open nephrectomy, pain, pethidine consumption

Abstract

Objective: In this study, we aimed at making a comparison between the laparoscopic nephrectomy and open nephrectomy in terms of post-operative pain and pethidine consumption.

Methods: The study has been designed with patients who underwent prospective and randomized laparoscopic and open nephrectomy operation. We assessed the post-operative pain through visual analogue scale (VAS) at the 0st, 2nd, 4th, 8th, 12th, 18th, and 24th post-operative hours. We carefully recorded the intraoperative and post-operative results along with the post-operative pain-relieving analgesic doses.

Results: A total number of 30 patients were included in this study. The VAS scores of the two groups did not demonstrate a significant difference, but the analgesic (Pethidine) requirement was significantly lower in the laparoscopic group (p=0.031). The groups demonstrated no difference in terms of adverse effects.

Conclusion: Along with similar perioperative results, laparoscopic nephrectomy offers an advantage in case of post-operative pain with regard to analgesic requirement and hospital stay duration.

Bangladesh Journal of Urology, Vol. 23, No. 1, January 2020 p.31-35

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Published

2020-11-15

How to Cite

Choudhury, A. M. A. R., Hossain, T. M. S., Parveen, T., Rahman, M. M., & Babul, M. S. A. (2020). In Terms of Analgesic Requirements — A Comparison Between Laparoscopic Nephrectomy and Open Nephrectomy. Bangladesh Journal of Urology, 23(1), 31–35. https://doi.org/10.3329/bju.v23i1.50286

Issue

Vol. 23 No. 1 (2020)

Section

Original Articles