Perioperative pain management strategies among women having reproductive surgeries

Fertil Steril. 2017 Aug;108(2):200-206. doi: 10.1016/j.fertnstert.2017.06.010. Epub 2017 Jul 8.

Abstract

This review presents opioid-sparing strategies for perioperative pain management among women undergoing reproductive surgeries and procedures. Recommendations are provided regarding the use of nonsteroidal anti-inflammatory drugs, acetaminophen, other adjunctive medications, and regional anesthetic blocks. Additional considerations for chronic opioid users or patients using opioid replacement or antagonist therapy are discussed.

Keywords: Opioids; perioperative pain management; reproductive surgery.

Publication types

  • Review

MeSH terms

  • Acetaminophen / administration & dosage*
  • Analgesics, Non-Narcotic / administration & dosage*
  • Anti-Inflammatory Agents, Non-Steroidal
  • Evidence-Based Medicine
  • Female
  • Gynecologic Surgical Procedures / adverse effects*
  • Humans
  • Narcotic Antagonists / therapeutic use*
  • Opiate Substitution Treatment / methods
  • Opioid-Related Disorders / prevention & control*
  • Pain Management / methods
  • Pain, Postoperative / etiology
  • Pain, Postoperative / prevention & control*
  • Treatment Outcome

Substances

  • Analgesics, Non-Narcotic
  • Anti-Inflammatory Agents, Non-Steroidal
  • Narcotic Antagonists
  • Acetaminophen