| Prolonged parenteral meperidine analgesia during pregnancy for pain from an abdominal wall mesh graft. | |
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MedLine Citation:
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PMID: 8378026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although successful pregnancy has been reported in women with prosthetic mesh abdominal wall grafts, the complication of severe pain in pregnancy from shearing of the graft has not been described. We report an unusual case of severe pain in pregnancy caused by abdominal wall stretching by the enlarging uterus. Pain was controlled with long-term intravenous meperidine analgesia. CASE: A 21-year-old multigravida with a previously placed mesh graft for multiple abdominal wall hernias presented at 30 weeks' gestation with severe abdominal pain. Meperidine patient-controlled analgesia at a mean dose of 14.2 mg/kg/day controlled the symptoms, allowing pregnancy prolongation for 28 days before induction of labor at 34 weeks when fetal lung maturity was confirmed. CONCLUSION: This is the first reported case of the use of high-dose patient-controlled parenteral narcotic analgesia in a woman whose abdominal wall mesh graft partially sheared from its attachments. The patient went on to have a successful vaginal delivery. |
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Authors:
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V Aaen; L Cowan; E P Sakala; M L Small |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 82 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1993 Oct |
Date Detail:
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Created Date: 1993-10-21 Completed Date: 1993-10-21 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 721-2 Citation Subset: AIM; IM |
Affiliation:
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Department of Gynecology and Obstetrics, Loma Linda University Medical Center, California. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Muscles* Adult Analgesia* Analgesia, Patient-Controlled* Female Humans Infusions, Parenteral Meperidine / administration & dosage* Pain / drug therapy*, etiology Pregnancy Pregnancy Complications / drug therapy*, etiology Surgical Mesh / adverse effects* Time Factors |
| Chemical | |
Reg. No./Substance:
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57-42-1/Meperidine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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