局所麻酔薬持続投与法による腸骨採取部の疼痛管理の検討

概要

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Free iliac bone(autogenous particulate cancellous bone and marrow: PCBM)grafts play an important role in surgical reconstruction of the oral and maxillofacial region. However, postoperative pain at the bone graft donor site is a common problem.Patients usually have difficulty in walking for about 10 days due to postoperative donor site pain. Getting up from bed and discharge are often delayed. Prolonged hospitalization increases the risk of complications such as deep vein thrombosis and pulmonary embolism.For these reasons, we have used a direct continuous local anesthetic injection system with a disposable injection pump at the site of iliac bone grafts.The advantage of this method is the relief of postoperative donor site pain as compared with analgesics such as diclofenac sodium, resulting in shorter hospitalization.
Japanese Society of Oral and Maxillofacial Surgeonsの論文