Pain prevention and treatment during the peri-operative period in patients with ventral hernias and associated adiposis
The authors have examined 42 patients with the body-weight index of over 40 kg/m <sup>2</sup> undergone herniatomy for the ventral hernia and abdominoplasty. 23 patients (1 <sup>st</sup> group) underwent surgery under the polycomponent balanced anaesthesia on the basis of low-flow inhalation of sevoflurane combined with ataralgesia. During the post-operative period the ataralgesia was achieved by the parenteral infusion of opiates associated with the non-steroid anti-inflammatory drugs (NSAID). The 2 <sup>nd</sup> group (19 patients) underwent combined anaesthesia with the low-flow inhalation of sevoflurane and thoracic epidural anaesthesia that allowed the post-operative anaesthesia combined with the parenteral infusion of the NSAIDs. As reported, the combined anaesthesia with the post-operative epidural analgesia with naropin has facilitated more rapid patients' awakening and activation and allowed fuller analgesia, lesser number of post-operative complications compared with the polycomponent balanced anaesthesia combined with the system infusion of narcotic analgesics and NSAIDs during the post-operative period.