title: [BALANCED MULTIMODAL ANALGESIA IN GYNECOLOGIC ONCOLOGY].
abstract: This article is about the issues of anesthesia during radical surgery in gynecologic oncology.
  
  
  METHODS
  the study included 336 patients who underwent simple and extended hysterectomy for the period from 2014 to 2015. There were 3 groups where PCA was carried out in groups I and III.
  
  
  CONCLUSIONS
  found a significant difference between the groups in pain intensity before and after surgery, as well as the need for opioid analgesics in the surgical treatment stages. Also is reflected the comparative characteristic of analgesia during the operation with epidural analgesia and systemic analgesia.
  
  
  CONCLUSIONS
  the study proves the effectiveness ofpatient-controlledepidural analgesia by calculating the sum ofpain intensity profile on the visual analogue scale in the postoperative period to 72 hours. It confirmed the needfor systemic analgesia in conjunction with epidural block in extensive gynecological cancer operations.
authors.forename: A Zh
authors.initials: AZh
authors.lastname: Bayaliieva
authors.forename: I I
authors.initials: II
authors.lastname: Khusainova
authors.forename: E A
authors.initials: EA
authors.lastname: Berdnikova
authors.forename: G H
authors.initials: GH
authors.lastname: Garipova
mesh_terms: D000328:Adult; D000368:Aged; D015360:Analgesia, Epidural; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D005260:Female; D005833:Genital Neoplasms, Female / Q000188:drug therapy* / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D059408:Pain Management; D010149:Postoperative Pain / Q000188:drug therapy* / Q000503:physiopathology
chemical_list: D000701:Analgesics, Opioid