Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial
Objectives: To examine the effectiveness of gel pack for reducing postoperative pain in patient who undergoes exploratory laparotomy for benign gynecologic surgery.Materials and Methods: Twenty eight participants who underwent benign gynecological surgery under general anesthesia at Kh...
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The Royal Thai College of Obstetricians and Gynaecologists
2018-03-01
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doaj-9ed48d5689f943e68d8633f34dff11692020-11-24T23:10:35ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842018-03-012615258https://doi.org/10.14456/tjog.2018.4Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trialWanlayanee Nuangpho0Sukanya Srinil1Thumwadee Tangsiriwatthana2Maleechat Sripipattanakul3Department of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen 40000, ThailandDepartment of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen 40000, ThailandDepartment of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen 40000, ThailandDepartment of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen 40000, ThailandObjectives: To examine the effectiveness of gel pack for reducing postoperative pain in patient who undergoes exploratory laparotomy for benign gynecologic surgery.Materials and Methods: Twenty eight participants who underwent benign gynecological surgery under general anesthesia at Khon Kaen Hospital in March 2016 were randomized by computer generated into two groups: gel pack group (N=14) and control group (N=14). Gel pack was applied at 2 hours after operation for 20 minutes and pain score was measured using visual analog scale (VAS) at 2 (baseline), 6 and 24 hours, respectively. The VAS was divided into two grades by pain-intensity; mild (VAS < 4), and moderate to severe (VAS ≥ 4). The comparison of pain-intensity was analyzed by Fisher exact test (p < 0.05).Results: Gel pack was statistically significant reduced postoperative pain from moderate-severe pain to mild pain intensity at 6 hours compared with control group (11 to 8 cases versus 14 to 14 case, p = 0.01, 95%CI 0.03-0.89). There was no statistically significant difference in opioid consumption, hospital stay and wound infection between two groups. Conclusion: Gel pack can reduce postoperative pain at 6 hour in benign gynecological operation without complication.https://tci-thaijo.org/index.php/tjog/article/download/68038/91531/Gel packexploratory laparotomybenign gynecologic surgerypostoperative pain. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wanlayanee Nuangpho Sukanya Srinil Thumwadee Tangsiriwatthana Maleechat Sripipattanakul |
spellingShingle |
Wanlayanee Nuangpho Sukanya Srinil Thumwadee Tangsiriwatthana Maleechat Sripipattanakul Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial Thai Journal of Obstetrics and Gynaecology Gel pack exploratory laparotomy benign gynecologic surgery postoperative pain. |
author_facet |
Wanlayanee Nuangpho Sukanya Srinil Thumwadee Tangsiriwatthana Maleechat Sripipattanakul |
author_sort |
Wanlayanee Nuangpho |
title |
Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial |
title_short |
Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial |
title_full |
Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial |
title_fullStr |
Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial |
title_full_unstemmed |
Gel pack reduced postoperative pain in benign gynecologic surgery: A randomized controlled trial |
title_sort |
gel pack reduced postoperative pain in benign gynecologic surgery: a randomized controlled trial |
publisher |
The Royal Thai College of Obstetricians and Gynaecologists |
series |
Thai Journal of Obstetrics and Gynaecology |
issn |
0857-6084 0857-6084 |
publishDate |
2018-03-01 |
description |
Objectives: To examine the effectiveness of gel pack for reducing postoperative pain in patient who undergoes exploratory laparotomy for benign gynecologic surgery.Materials and Methods: Twenty eight participants who underwent benign gynecological surgery under general anesthesia at Khon Kaen Hospital in March 2016 were randomized by computer generated into two groups: gel pack group (N=14) and control group (N=14). Gel pack was applied at 2 hours after operation for 20 minutes and pain score was measured using visual analog scale (VAS) at 2 (baseline), 6 and 24 hours, respectively. The VAS was divided into two grades by pain-intensity; mild (VAS < 4), and moderate to severe (VAS ≥ 4). The comparison of pain-intensity was analyzed by Fisher exact test (p < 0.05).Results: Gel pack was statistically significant reduced postoperative pain from moderate-severe pain to mild pain intensity at 6 hours compared with control group (11 to 8 cases versus 14 to 14 case, p = 0.01, 95%CI 0.03-0.89). There was no statistically significant difference in opioid consumption, hospital stay and wound infection between two groups. Conclusion: Gel pack can reduce postoperative pain at 6 hour in benign gynecological operation without complication. |
topic |
Gel pack exploratory laparotomy benign gynecologic surgery postoperative pain. |
url |
https://tci-thaijo.org/index.php/tjog/article/download/68038/91531/ |
work_keys_str_mv |
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