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Epidural analgesia versus parenteral opioid analgesia after colorectal surgery
Article Type: Reviews of effectiveness From: Clinical Governance: An International Journal, Volume 13, Issue 3
E. Marret, C. Remy and F. Bonnet (2007), “Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery”
British Journal of SurgeryVol. 94 No. 6pp. 665-73
The review concluded that epidural anaesthesia does not shorten hospital stay after colorectal surgery, although it significantly reduces pain and shortens the duration of ileus. Rehabilitation programmes may have more impact on length of stay. Despite low-study quality and poor reporting of review methods, the review was generally well conducted and the conclusions are likely to be reliable.
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