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Multimodal perioperative pain protocol for Gynecologic Oncology laparotomy reduces length of hospital stay

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Methods: We compared 52 patients who underwent laparotomy with a gynecologic oncologist at a single institution in 2017-2018 after implementation of a multimodal perioperative pain regimen to a historic cohort… Click to show full abstract

Methods: We compared 52 patients who underwent laparotomy with a gynecologic oncologist at a single institution in 2017-2018 after implementation of a multimodal perioperative pain regimen to a historic cohort of 94 patients (2016-2017). The multimodal pain regimen included pre and post-operative administration of oral acetaminophen, gabapentin, and celecoxib, in addition to standard narcotics and optional epidural analgesia. Demographic, surgical, and post-operative data were collected. Linear regression models were used to determine factors associated with length of stay.

Keywords: pain; perioperative pain; stay; gynecologic oncology; oncology; multimodal perioperative

Journal Title: Gynecologic Oncology
Year Published: 2019

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