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Epidural Analgesia as Part of an Enhanced Recovery Pathway in Gynecologic Surgery
The purpose of this study is to see if placing an epidural prior to open abdominal surgery has an effect on pain after surgery when an Enhanced Recovery Pathway (ERP) is used. Enhanced Recovery Pathway is a set of steps used by health care providers to care for patients after surgery. It is made up of specific steps before, during, and after surgery and has been shown to improve patient outcomes. Enhanced recovery pathways include patient education, not using laxatives before surgery, increasing activity and oral intake after surgery, and scheduled use of medications for pain and nausea. Enhanced recovery pathways have been shown to shorten hospital stay without compromising pain control in subjects undergoing gynecologic surgery. With this study, we would like to see how epidurals affect the enhanced recovery pathway and if they improve pain control.
An epidural is used in addition to general anesthesia (being put to sleep), and many studies have shown that it is helpful for pain control after surgery. UW Hospital routinely offers epidurals for gynecologic patients undergoing open abdominal surgeries.
Epidural analgesia, often referred to as "an epidural," is a small tube placed in the lower back that numbs the nerves and stops the feeling of pain. It stays in place for several days after surgery. Click here for more info
- Gynecologic patients undergoing laparotomy via midline vertical skin incision will be eligible
Applicable Disease Sites
Cervix; Ovary; Uterus
UW Hospital and Clinics