Intrathecal Morphine Injection for Postoperative Analgesia Following Gender-Affirming Pelvic Surgery: A Retrospective Case-Control Study.

Autor:	Swisher MW; Anesthesiology, University of California San Diego, La Jolla, USA., Dolendo IM; Anesthesiology, University of California San Diego, La Jolla, USA., Sztain JF; Anesthesiology, University of California San Diego, La Jolla, USA., Alexander BS; Anesthesiology, University of California San Diego, La Jolla, USA., Tsuda PS; Anesthesiology, University of California San Diego, La Jolla, USA., Anger JT; Urology, University of California San Diego, La Jolla, USA., Said ET; Anesthesiology, University of California San Diego, La Jolla, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Mar 27; Vol. 15 (3), pp. e36748. Date of Electronic Publication: 2023 Mar 27 (Print Publication: 2023).
DOI:	10.7759/cureus.36748
Abstrakt:	Background Gender-affirming pelvic surgery (GAPS) can be associated with significant postoperative pelvic pain. Given the lack of available peripheral nerve blocks to the perineum, intrathecal morphine (ITM) injection could offer a potent analgesic modality for this patient population. No prior studies to date have been performed examining the analgesic effects of intrathecal morphine for these patients. Methods This retrospective case-control study aims to understand the postoperative analgesic effects of intrathecal morphine for these patients with a historical comparison group of patients who did not receive intrathecal morphine. Results Fourteen patients presented for gender-affirming pelvic surgery over an eight-month period at a single institution and were offered intrathecal morphine for postoperative analgesia. Their analgesic results were compared to a similar historical group of 13 patients who were not offered or declined intrathecal morphine. Conclusions Intrathecal morphine injection is a potent analgesic modality for patients presenting for gender-affirming pelvic surgery. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2023, Swisher et al.)
Databáze:	MEDLINE
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