OBJECTIVE: To study the association of a @entity158 protocol (MMPC) and reduced hospital stay after open abdominal hysterectomy. STUDY DESIGN: The study design was a comparison of a prospective cohort with a retrospective historical control. We enrolled @entity1204 @entity1 undergoing open abdominal hysterectomy with lymphadenectomy by the same surgeon. Control @entity1 from 2008 to 2010 who received morphine PCA alone were compared with a similar demographic group of @entity1 from 2011 to 2013 who received MMPC. MMPC consisted of gabapentin (900mg PO) and acetaminophen (1g IV) administered 45-60min preoperatively. The surgical site was injected with bupivacaine with 0.5% epinephrine prior to incision. The @entity282 control regimen consisted of gabapentin (300mg PO every 6h), acetaminophen (1g IV every 8h for 24h postoperatively), ketorolac (15mg IV every 6h for 48h postoperatively), morphine PCA (2mg IV every 10min, no basal rate) and oxycodone/acetaminophen (10/325mg PO every 6h as needed). RESULTS: Length of hospital stay (LOH) of the study cohort (N=105 with MMPC) was compared with the historical with postoperative morphine alone (N=113 without MMPC). There were no differences in demographic, uterine @entity5 stage, or comorbidities between the two arms. The LOH was 1.6 days for @entity1 receiving MMPC and 3.3 days for @entity1 who received morphine alone (P<0.001). CONCLUSION: @entity158 control is associated with significantly reduced hospital stay after open abdominal hysterectomy.

XXXX control is associated with reduced hospital stay following open abdominal hysterectomy.

@entity1204 :: ('MESH:D016889', 'Disease') :: ['endometrial cancer'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Multimodal pain', 'multimodal pain'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain']
@entity158 :: (MESH:D010146,Disease) :: ['Multimodal pain']
