Pain and plastic surgery: avoiding problems on the way to perfection
Abstract This review covers postoperative pain prevention and treatment in plastic surgery. Pain in plastic surgery remains a serious problem, especially after extensive reconstructive operations. In outpatient surgery cases pain makes it difficult to timely discharge patients from hospital. In 10–40% of post-operative plastic surgery patients experiencing pain it can become chronic, especially after breast surgery. The basis therapy for postoperative analgesia in plastic surgery is the combined use of non-opioid analgesics (NSAIDs, paracetamol, nefopam) and different types of regional analgesia. Opioid analgesics are considered as a second line drugs analgesics in case of non-opioid analgesic ineffectiveness.
Keywords:plastic surgery, perioperative pain management, non-opioid analgesics, regional analgesia
Clin. Experiment. Surg. Petrovsky J. 2016. № 3. Р. 51–63.
Received: 25.05.2016. Accepted: 25.06.2016.
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