A Comparative study on the occurrence of postoperative nausea and vomiting between open and laparoscopic gynecological procedures / Samuel O. Chavez II and Bryan Haberia. - Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2019. - 19 pages: tables; (in folder) with CD (soft copy).

Includes appendices and bibliographical references.

Abstract: Postoperative nausea and vomiting (PONV) is considered by patients as worse than postoperative pain thus reducing patient's satisfaction. The incidence of PONV is 30% in patients exposed to inhalational anesthetics and increases to 40-70% in patients who underwent gynecological laparoscopic procedure. Despite evidence, the presence of even a single strong independent predictor for PONV is not good enough for risk assessment or to make a decision to give prophylactic antiemesis. A retrospective cross-sectional analytical study of the chart records of patients who underwent open and laparoscopic gynecological procedures was done. A total of 105 chart records in open procedures (Group O) and 30 chart records in laparoscopy (Group L) were included in the study. Occurrence of PONV between the two groups were compared. Eighteen percent of patients had PONV in Group O while 10% of patients in Group L had PONV. Frequency and proportion was used to describe demographical data while Chi square test was used to compare the two groups according to different variables studied. A confidence interval of 95% was used with a significant value of p<0.05. There were no significant difference in the occurrence of PONV between the two groups according to age, BMI, ASA PS, postoperative opioid used and duration of surgery.

Research - Department of Anesthesiology


postoperative nausea and vomiting
apfel score
laparoscopy
gynecologic procedure

ANES 2019 0004