The study on consumption of analgesics after some of abdominal surgeries

Abstract

Background: Postoperative analgesics are aimed to reduce acute pain after surgery and help patient return to normal activities quickly. More than 80% of patients experience moderate to severe acute pain post-surgically. Poor postoperative analgesia control can delay recovery, increase treatment costs, and increase the risk of mortality. Aim: The study is aimed to evaluate the analgesics consumption after some of abdominal surgeries. Materials and Methods: In 2022 and 2023, 898 patients who underwent surgery for acute appendicitis, gallstones, hernia, and hepatocellular carcinoma in the Department of Surgery, Mongolia-Japan Hospital of MNUMS, and who used analgesics for treatment, were included in the study by randomized sampling method. Results: Regarding the average pain intensity of 888 patients who rated total pain, 0 (0 points) 0.1% (1), (1-3 points) 96.3% (855), and (4-5 points) 3.6% (320) of the patients rated their pain scale as no pain, mild and moderate pain, respectively. The average pain score by diagnosis group was 2.4±0.6, 2.4±0.7, 2.4±0.6 and 2.2±0.7 for cholecystectomy, appendectomy, hernia repair surgery and surgery for hepatocellular carcinoma. For postoperative pain relief, 2-4 types of medicines were used alone or in combination such as NSAIDs alone, Acetaminophen + NSAID, NSAID + Opioids, and NSAID + NSAID. Conclusions: Based on the severity of pain, analgesics are selected for treatment, but in cases of concomitant use of analgesics, it is common to use medicines with contraindications and the same group of drugs. Therefore, the need for clinical pharmacology in postoperative analgesia management is indicated.