Comparison of different methods of postoperative analgesia used in obese patients undergoing laparoscopic sleeve gastrectomy

Introduction. Laparoscopic sleeve gastrectomy is one of the methods for obesity treatment. Aim. The aim of the study is to present different methods of postoperative pain relief in patients treated with this method worked out on the basis of their own experience. Material and methods. In the treatment of pain in patients undergoing tubular gastrectomy (sleeve gastrectomy) retrospective analysis of 62 patients who used three regimens of postoperative pain. The first group consisted of patients receiving tramadol 100 mg i.v. every 4 hours and metamizol 1 g i.v. every 6 hours (37 patients), the second group – patients who used morphine 10 mg s.c., What 4 h and metamizol 1 g i.v. every 6 hours (11 patients), the third group was used oxycodone 5 mg i.v., which 4 h i.v. 1 g of metamizol as 6 h (14 patients). Results. The best treatments used pain control was achieved in patients receiving oxycodone in combination with metamizol. Conclusions. The after-surgery pain treatment procedures, an effective and safe option seems to be combinations of 5 mg oxycodone dose every 4 h i.v. with metamizol 1 g every 6 hours.