• The American surgeon · Nov 1995

    The effect of epidural analgesia on the return of peristalsis and the length of stay after elective colonic surgery.

    • J F Lehman and J S Wiseman.
    • Department of Surgery, Guthrie Clinic, Sayre, Pennsylvania 18840, USA.
    • Am Surg. 1995 Nov 1; 61 (11): 1009-12.

    AbstractEpidural analgesia has been shown to improve pulmonary function and analgesia after abdominal surgery. Although epidural analgesia may increase colonic motility, its effect on the clinical outcome following colonic surgery is unclear. Therefore, the purpose of this study was to determine the effect of epidural analgesia on return of peristalsis and length of stay after elective colonic surgery as compared with traditional analgesia. A total of 102 patients undergoing elective colonic surgery (66 left-sided, 36 right) between September 1991 and April 1993 were retrospectively studied. Variables recorded were location of colon anastomosis, type of analgesia, time until return of colonic peristalsis, length of epidural administration, and length of hospital stay. Forty-one patients received epidural and 61 received traditional analgesia. Data was analyzed with a Student's T test (P set < 0.05) and Spearman's correlation coefficient where appropriate. No statistically significant difference was found between epidural and traditional analgesia with regard to return of peristalsis or length of stay. Similarly, when considering the location of the anastomosis (left versus right colon), no statistically significant difference was demonstrated between the two groups. Also, there was no increased incidence in anastomotic leaks or mortality.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.