Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector4280110.17816/RA42801ArticlesСтатьиResearch ArticlePostoperative analgesia in plastic surgeryПослеоперационное обезболивание в пластической хирургииOvechkinAlexei M.ОвечкинАлексей Михайлович

MD, PhD, DSc, professor, Head of the Department of anesthesiology and resuscitation

доктор медицинских наук, профессор, заведующий кафедрой анестезиологии и реаниматологии

ovechkin_alexei@mail.ruZvizhulevaA. AЗвижулеваА. АI.M. Sechenov First Moscow State Medical UniversityГБОУ ВПО «Первый московский государственный медицинский университет им. И.М. Сеченова»S.P. Botkin City Clinical Hospital of Department of Healthcare of MoscowГБУ «Городская клиническая больница им. С.П. Боткина» Департамента здравоохранения г. Москвы15062016102VOL 10, NO2 (2016)ТОМ 10, №2 (2016)829624082020Copyright ©; 2016, Eco-VectorCopyright ©; 2016, ООО "Эко-Вектор"2016Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/42801

The review is devoted to the questions of prophylaxis and treatment of postoperative pain in plastic surgery. The pain in plastic surgery remains a serious problem in particular after major reconstructive-reparative operations. It impedes patient timely discharge from hospital in same-day surgery. Postoperative pain in plastic surgery may become chronic in 10-40% cases especially after operations on mammary glands. The basis of postoperative analgesia in plastic surgery is combined using of nonopioid analgesics (NSAIDs, paracetamol, gabapentin) and different variants of regional analgesia. Opioid analgesics are considered as reserve drugs for cases when nonopioid analgesia isn't effective.

Обзорная статья посвящена вопросам профилактики и лечения послеоперационной боли в пластической хирургии. Боль в пластической хирургии остается серьезной проблемой, особенно после обширных реконструктивно-восстановительных операций. В хирургии одного дня боль затрудняет своевременную выписку пациентов из стационара. В 10-40% случаев послеоперационная боль в пластической хирургии может стать хронической, особенно после операций на молочных железах. Основой послеоперационного обезболивания в пластической хирургии является сочетанное использование неопиоидных анальгетиков (НПВС, парацетамол, габапентин) и различных вариантов регионарной анальгезии. Опиоидные анальгетики рассматриваются в качестве препаратов резерва при неэффективности неопиоидной анальгезии.

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