Modern methods for evaluating acute and chronic pain after abdominal hysterectomy

Background. Pain after abdominal hysterectomies is a common clinical problem. It can be both acute and chronic affects up to 30 % of patients surgery. The purpose our study was determine the frequency pain in first 3 days evaluate risk developing neuropathic 60 total hysterectomy. Materials methods. A prospective cohort single-center parallel groups conducted. included 52 women divided into group I (n = 24) II 28). In groups, combined anesthesia used with no differences between terms component general anesthesia, but it differed regional anesthesia: received epidural catheterization, while — bilateral QL-block. all dexketoprofen as preemptive analgesia, postoperative combination paracetamol administered for 2 days; severe morphine 10 mg parenterally. Patients from prolonged analgesia 0.2% bupivacaine solution via catheter Study stages: 24 hours (d1), 48 (d2), 72 (d3), (d30) (d60) Results. No significant severity on visual analog scale were found stages d1 d2 groups. However, stage d3, this parameter significantly higher compared group: 4.1 ± 0.2 points 1.8 0.1 points, respectively (p < 0.05). 12.5 d1, 4.2 0 d3; II, these indicators 21.4, 17.9 7.1 %, respectively. among quite high. particular, d30, 5 [4; 6] 6 [5; ≥ 0.05), d60, 5], 5] Conclusions. incidence did not have d3 decreased 21.4 respectively, d3. d30