Abdominal hysterectomy and postoperative quality of recovery: emphasis on pain relief

Hysterectomy is a widespread surgical intervention in gynecological practice. Open abdominal hysterectomy accompanied by significant algogenic afferent impulse from the site of intervention. Therefore, search for effective methods combating postoperative pain quite urgent. The article analyzes modern approaches to preventive (preoperative) use non-narcotic drugs reliable control. Literature data suggest that combined paracetamol, dexketoprofen, nalbuphin, as well ropivacaine or bupivacaine allows implement concept multimodal analgesia and optimize recovery process after surgery. clinical case given an example specified Step-UP-analgesia period overweight patient with varicose veins lower extremities severe history septic shock. review literature experience authors testify considerable potential anesthesia following hysterectomy.