KẾT QUẢ ĐIỀU TRỊ GIẢM ĐAU SAU MỔ CHO BỆNH NHÂN NỘI SOI CẮT THẬN GHÉP TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Objective: Evaluation of Postoperative Pain Management for Living Kidney Donors at Viet Duc Friendship Hospital. Patients and Method: This cross-sectional study involved 166 living kidney donors who underwent laparoscopic surgery with phu mac. Pain management followed a standardized protocol, combining patient-controlled intravenous analgesia (PCA) with local infiltration anesthesia using 2% lidocaine subcutaneous injection. Pain relief effectiveness was assessed using the VAS scale at different time points: upon removal of the endotracheal tube, upon transfer to the ward, time to bowel movement restoration, and postoperative variables. Results: The study included 86 males and 80 females. The average surgical times for right and left kidneys were 115.1±22.75 minutes and 120.33±22.57 minutes, respectively. Right kidney retrieval required 4 trocars, while left kidney retrieval required 3 trocars. The incision length for kidney retrieval was approximately 10 cm. After 2 hours, 96.3% of patients reported VAS scores below 4. On the first day after surgery, 93.37% of patients in the ward experienced mild pain (VAS 3-4), with only 6.63% reporting moderate pain (VAS 5-6). Pain levels were minimal in the following days, and the incidence of unwanted side effects was low. Conclusion: Postoperative pain management through local infiltration anesthesia combined with PCA demonstrated effective pain relief, faster mid-term recovery, and high patient satisfaction levels for living kidney donors.