Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery
Aims: Varicocelectomy is the most common operation carried out by doctors for male infertility treatment. The aim of varicocele treatment is to hinder the refluxing venous drainage to the testis, retaining arterial inflow, and lymphatic drainage. A lot of pain is generated after this surgery, and th...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-05-01
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| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2017.1299819 |
| _version_ | 1797684577589788672 |
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| author | Sedigheh Nadri Hormoz Mahmoudvand Mahmoud Reza Moradkhani |
| author_facet | Sedigheh Nadri Hormoz Mahmoudvand Mahmoud Reza Moradkhani |
| author_sort | Sedigheh Nadri |
| collection | DOAJ |
| description | Aims: Varicocelectomy is the most common operation carried out by doctors for male infertility treatment. The aim of varicocele treatment is to hinder the refluxing venous drainage to the testis, retaining arterial inflow, and lymphatic drainage. A lot of pain is generated after this surgery, and the use of opium should be reduced to nearest minimum, as all drugs are toxins. Thus the aim of the present study is to facilitate morphine usage reduction after varicocelectomy surgery. Material and Methods: One-hundred (100) patients who were varicocelectomy candidate were randomized into two groups: experimental group contain 50 patients and control group contain 50 patients as well. In experimental group, 2 mL magnesium sulfate in 2 mL normal saline was injected into patient immediately after surgery. The control group received only 4 mL normal saline. Morphine dosage administered, and severity of pain monitoring was accessed and recorded with a visual analogue scale (VAS). Result: Result indicated that administration of morphine dosage in the test group 0.21 ± 0.64 mg was significantly lower as compared to the control group 0.75 ± 1.30 mg during the first 24-hour after surgery (p = 0.01). Average VAS scores in the experimental and control groups in the first 4-hour interval were 0.91 ± 1.30 and 2.9 ± 2.50 (p = 0.02) respectively. We observed a significant difference in the VAS score for pain severity and the dosages of morphine administered. Conclusions: The experimental group with magnesium sulfate in its drug formulation showed better pain control compared to the control group which received only normal saline, whose pain manifested after every few hours. This can be used for the formulation of opium for this surgery in a large scale. |
| first_indexed | 2024-03-12T00:32:43Z |
| format | Article |
| id | doaj.art-efb81c21d0434f5c827aa92dc14d5a54 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:32:43Z |
| publishDate | 2018-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-efb81c21d0434f5c827aa92dc14d5a542023-09-15T10:12:27ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532018-05-0131317317710.1080/08941939.2017.12998191299819Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy SurgerySedigheh Nadri0Hormoz Mahmoudvand1Mahmoud Reza Moradkhani2Lorestan University of Medical SciencesLorestan University of Medical SciencesLorestan University of Medical SciencesAims: Varicocelectomy is the most common operation carried out by doctors for male infertility treatment. The aim of varicocele treatment is to hinder the refluxing venous drainage to the testis, retaining arterial inflow, and lymphatic drainage. A lot of pain is generated after this surgery, and the use of opium should be reduced to nearest minimum, as all drugs are toxins. Thus the aim of the present study is to facilitate morphine usage reduction after varicocelectomy surgery. Material and Methods: One-hundred (100) patients who were varicocelectomy candidate were randomized into two groups: experimental group contain 50 patients and control group contain 50 patients as well. In experimental group, 2 mL magnesium sulfate in 2 mL normal saline was injected into patient immediately after surgery. The control group received only 4 mL normal saline. Morphine dosage administered, and severity of pain monitoring was accessed and recorded with a visual analogue scale (VAS). Result: Result indicated that administration of morphine dosage in the test group 0.21 ± 0.64 mg was significantly lower as compared to the control group 0.75 ± 1.30 mg during the first 24-hour after surgery (p = 0.01). Average VAS scores in the experimental and control groups in the first 4-hour interval were 0.91 ± 1.30 and 2.9 ± 2.50 (p = 0.02) respectively. We observed a significant difference in the VAS score for pain severity and the dosages of morphine administered. Conclusions: The experimental group with magnesium sulfate in its drug formulation showed better pain control compared to the control group which received only normal saline, whose pain manifested after every few hours. This can be used for the formulation of opium for this surgery in a large scale.http://dx.doi.org/10.1080/08941939.2017.1299819magnesium sulfatemorphinepainvaricocelectomyvas scoreopium |
| spellingShingle | Sedigheh Nadri Hormoz Mahmoudvand Mahmoud Reza Moradkhani Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery Journal of Investigative Surgery magnesium sulfate morphine pain varicocelectomy vas score opium |
| title | Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery |
| title_full | Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery |
| title_fullStr | Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery |
| title_full_unstemmed | Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery |
| title_short | Magnesium Sulfate Mediates Morphine Administration Reduction in Varicocelectomy Surgery |
| title_sort | magnesium sulfate mediates morphine administration reduction in varicocelectomy surgery |
| topic | magnesium sulfate morphine pain varicocelectomy vas score opium |
| url | http://dx.doi.org/10.1080/08941939.2017.1299819 |
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