The Effect of Analgesic Technique on Recovery of Patients after Colon Surgery

Kyou Chul Han, Soo Chang Son
1998 Korean Journal of Anesthesiology  
Different types of analgesia may affect the rate of recovery of gastrointestinal function after colon surgery. Methods: Sixty-six patients undergoing colon surgery which including right and left hemicolectomy, anterior resection and Miles' operation were categorized into four groups. All groups received a general anesthesia. Control group, in surgical ward the patients received adjuvant analgesics on request postoperatively. Group M received a intraoperative bolus epidural morphine followed by
more » ... n infusion of morphine. Group MB received a intraoperative bolus of epidural morphine followed by an infusion of bupivacaine and morphine. Group PCA received a intraoperative bolus of intravenous morphine followed by patientcontrolled morphine postoperatively. Results: Ambulation, oral feeding and duration of hospitalization were not differed among groups. Group MB, recovered gastrointestinal function approximately 30 hours earlier than Group PCA(p<0.05) Conclusion: Epidural analgesia with bupivacaine and morphine accelerated postoperative recovery of gastrointestinal function. (Korean J Anesthesiol 1998; 34: 383~388)
doi:10.4097/kjae.1998.34.2.383 fatcat:vkx4ao4lorgfxfidol7xsklloy