What to do if patients with endometrial cancer have postoperative wound pain

Postoperative wound pain in patients with endometrial cancer can be relieved through drug analgesia, physical therapy, psychological counseling, wound care, and position adjustment. Postoperative pain is usually caused by surgical trauma, inflammatory response, increased nerve sensitivity and other factors.

1. Drug analgesia

The use of nonsteroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules and celecoxib capsules as directed by your doctor can reduce inflammatory pain. Opioids such as tramadol hydrochloride tablets are used for moderate to severe pain, and the dosage must be controlled strictly according to the doctor's instructions. Local anesthetics such as lidocaine gel can help relieve superficial wound pain and avoid long-term use.

2. Physical therapy

You can try cold compresses to reduce swelling 48 hours after surgery, and switch to hot compresses to promote blood circulation after 72 hours. Low-frequency pulse electrical stimulation relieves discomfort by interfering with pain transmission and needs to be operated by a rehabilitation practitioner. Ultrasound drug therapy can accelerate wound healing and reduce the sensitivity of nerve endings.

3. Psychological counseling

Fear of pain may aggravate subjective pain perception, and cognitive behavioral therapy helps to establish positive coping mechanisms. Deep breathing exercises and progressive muscle relaxation reduce sympathetic excitability. Participation of family members in pain diary recording can help doctors evaluate the analgesic effect.

4. Wound care

Keep the dressing dry and clean, and use silicone dressings to reduce mechanical irritation during dressing changes. Observe for signs of infection such as exudation, redness, and swelling, and treat them promptly to avoid inflammation that aggravates pain. The abdominal girdle needs to be appropriately tight after surgery, as excessive compression may affect blood supply.

5. Adjust body position

The semi-recumbent position reduces abdominal tension, and when lying on the side, use a pillow to support the limb on the side of the operation. Early ankle pump exercise in bed is used to prevent thrombosis, and gradually transition to sitting up beside the bed. Avoid pressing the wound with your hands when coughing or laughing suddenly.

Postoperative diet should ensure the intake of high-quality protein such as fish and eggs to promote tissue repair, and appropriate supplementation of citrus fruits with high vitamin C content. Perform breathing exercises and active lower limb activities every day, and avoid heavy lifting and strenuous exercise for 6 weeks. If the pain continues to worsen or is accompanied by fever or peculiar-smelling secretions, immediate follow-up is required.