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Use of Gabapentin in Management of Acute Pain After Surgery: Review of Literature



Eskandari AH1 ; Alipour S2
Authors
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Authors Affiliations
  1. 1. Department of Research, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran
  2. 2. Department of General Surgery, Breast Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Payavard Salamat Published:2019

Abstract

Background and Aim: Breast surgery is one of the most common surgical operations performed worldwide as well as in Iran. Acute postoperative pain is managed by different therapeutic modalities in these procedures, and opioid are the most frequently used option; however, their adverse consequences imposes restriction of use. The goal of this article is to review the effects of gabapentin on postoperative pain and opioid use in breast surgeries. Materials and Methods: PubMed, Ovid Medline, and Scopus databases from 2000 to 2019; as well as Google scholar, first 350 results, were searched for all clinical trials and review articles about the subject, using various related keywords. Sixty-two articles were reviewed by 2 researchers and finally data from 22 papers were gathered and assessed. Results: This review demonstrates that gabapentin is effective in reducing acute postoperative pain after breast operations. Also, rate of opioid consumption, an important objective in the period after surgery, is reduced by the use of opioids. Conclusion: This study prompts the effectiveness of gabapentin in controlling postoperative pain in breast operations; since this drug is very seldom used for this purpose in our country, we propose that medical staff consider it as a powerful option after breast procedures. © 2019, Tehran University of Medical Sciences. All rights reserved.
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