2000 Volume 7 Issue 2 Pages 116-119
Recently, endoscopic thoracic sympathicolysis (ETS) has been established for primary palmary hyperhidrosis (PPH). Postoperative pain after ETS is rather severe, in spite of the small incision used for the surgical procedure. The aim of this study is a comparison of the two different analgesics for postoperative pain in ETS.
Forty-five patients were randomly assigned to the following three groups. Group B comprised 15 patients who received buprenorphine suppository before and after operation. Group F comprised 15 patients who received flurbiprofen axietil before and after operation. Group BF comprised 15 patients who received buprenorphine suppository before operation and flurbiprofen axietil after operation.
Postoperative pain was evaluated by using Prince Henly Pain Score (PHPS). Operation and anesthesia time, PaCO2 after extubation, frequency of nausea and vomiting, and dose of antiemetics and analgesics were recorded simultaneously.
In the B group, PHPS and PaCO2 after extubation were significantly higher (p<0.05) than those of the other groups just after ETS. Frequency of analgesics administered in the B group was also significantly higher (p<0.05) than that of other groups just after ETS. Our findings suggest that flurbiprofen axietil is suitable for postoperative pain after ETS.