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Update Laparoskopie: postoperative Analgesie und Prävention von Nausea und Vomitus

  • Annika SimonEmail author
Gynäkologie aktuell
  • 9 Downloads

Zusammenfassung

Die Prävention und Therapie postoperativer Schmerzen, Übelkeit und Erbrechen nach laparoskopischen Eingriffen in der Gynäkologie stellt für alle Beteiligten immer wieder eine Herausforderung dar. Als potenzielle Risikofaktoren sind heute präoperative Unterleibsschmerzen, bestimmte Genvarianten und der mentale Zustand der Patientinnen bekannt. Zur Prävention von Schulterschmerzen kommen Drainagen, pulmonale Rekrutierungsmanöver, Pregabalin und aktives Absaugen des Kapnoperitoneums zum Einsatz. Zur Vorbeugung und Therapie von Übelkeit und Erbrechen haben sich 5‑HT3-Antagonisten auch in Kombination mit Dexamethason oder Aprepitant sowie alternative Heilmethoden wie Elektroakupunktur bewährt.

Schlüsselwörter

Aprepitant Dexamethason Schulterschmerzen Serotonin-5-HT3-Rezeptorantagonisten  Elektroakupunktur 

Update on laparoscopy: postoperative analgesia and prevention of nausea and vomiting

Abstract

The prevention and treatment of postoperative pain, nausea and vomiting after laparoscopic interventions in gynecology is always a challenge for all participants. Nowadays, potential risk factors are known to include preoperative lower abdominal pain, certain gene variants and the mental state of the patients. For the prevention of shoulder pain, drainage, pulmonary recruitment maneuvers, pregabalin and active aspiration of the capnoperitoneum are used. For the prevention and treatment of nausea and vomiting, 5‑HT3 antagonists are used in combination with dexamethasone or aprepitant. Finally, alternative methods such as electroacupuncture have shown initial success.

Keywords

Aprepitant Dexamethasone Shoulder pain Serotonin 5‑HT3 receptor antagonists Electroacupuncture 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

A. Simon gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden vom Autor keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.Klinik für FrauenheilkundeKlinikum SiloahHannoverDeutschland

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