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Pain Research and Treatment
Volume 2012 (2012), Article ID 201852, 6 pages
http://dx.doi.org/10.1155/2012/201852
Review Article

Pain Management in Laparoscopic Donor Nephrectomy: A Review

Transplant Surgery Group, Department of Infection, Immunity and Inflammation, Leicester General Hospital, University of Leicester, Gwendolen Road, Leicester LE5 4PW, UK

Received 7 July 2012; Accepted 20 September 2012

Academic Editor: Giustino Varrassi

Copyright © 2012 U. Mathuram Thiyagarajan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The management of postoperative pain is a key to patient early recovery, in particular, where the surgery was performed to benefit another human being. In recent years it has been recognized that multimodal analgesic methods are superior for postoperative pain relief. It is also imperative to remember that inadequately managed acute postoperative pain opens the doorway to possible suffering from chronic postoperative pain later. Although the laparoscopic donor nephrectomy has reduced the disincentives associated with open surgery, still significant percentage of donors suffers from postoperative pain. In the UK, patient-controlled analgesic system (PCAS) using morphine for postoperative pain relief is being used in majority of the transplant centres. Though opioids provide good analgesia, they are far from being an ideal analgesic due to their adverse effects. This paper pragmatically looks in depth on different modalities of pain management in patients undergoing laparoscopic live donor nephrectomy.