Postoperative Analgesia When Performing Pancreatic Resection Surgeries

V.M. Kopchak, K.V. Kopchak, I.V. Khomiak, O.V. Duvalko, L.O. Pererva, N.H. Davydenko, Ya.V. Romaniv, O.S. Tkachuk


The article discusses the use of an effective complex of surgical and conservative measures to reduce the number of prescriptions of narcotic drugs in the postoperative period. In the complex of measures, it is proposed to apply laparoscopic approach when performing pancreatic resections that can reduce the injury of the anterior abdominal wall. In this, it is proposed to use an epidural anesthesia, which, in addition to the analgesic effect, has a positive impact on intestinal motility in the postoperative period. As the third element in the complex of measures, it is recommended to administer painkillers, namely non-steroidal anti-inflammatory drugs, such as Xefocam. This complex of approaches promotes adequate pain relief and the possibility to refuse analgesia with narcotic analgesics in 95.7 % of patients.


resection; postoperative analgesia; Xefocam


Mariam Hameed. Pain Management in Pancreatic Cancer / Ma­riam Hameed, Haroon Hameed, Michael Erdek // Cancers. — 2011. — Vol. 3. — P. 43-60.

Pain and chronic pancreatitis: A complex interplay of multiple mechanisms / Jakob Lykke Poulsen, Soren Schou Olesen, Lasse Paludan Malver [et al.] // World Journal of Gastroenterology. — 2013. — Vol. 19. — P. 7282-7291.

Hyeon Jeong Lee Opioid induced hyperalgesia in anesthetic settings / Hyeon Jeong Lee, David C. Yeomans // Korean J. Anesthesion. — 2014. — Vol. 67(5). — P. 299-304.

Mowafi H.A. Intravenous lornoxicam is more effective than paracetamol as a supplemental analgesis after lower abdominal surgery: a randomized controlled trial / Mowafi H.A., Elmakarim E.A., Ismail S. // Word J. Surgery. — 2012. — Vol. 36(9). — P. 2039-2044.

Pain sensation in pancreatic diseases is not uniform: The different facets of pancreatic pain / Jan G. D’Haese, Mark Hartel, Ihsan Ekin Demir [et al.] // World Journal of Gastroenterology. — 2014. — Vol. 20. — P. 9154-9161.

A Comparative Study of Efficacy and Safety of Lornoxicam Versus Tramadol as Analgesics After Surgery on Head and Neck / Sudip Kr. Das, Manasi Banerjee, Shirsendu Mondal [et al.] // Indian. J. Otolaryngol. Head Neck Surg. — 2013. — Vol. 65. — P. 126-130.

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