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Ignaszak-Kaus N, Duleba AJ, Mrozikiewicz A, Kurzawińska G, Różycka A, Hauke J, Gaca M, Pawelczyk L, Jagodziński PP, Jędrzejczak P. Relationship of Postoperative Pain and PONV after Minimally Invasive Surgery with the Serotonin Concentrations and Receptors' Gene Polymorphisms. J Pers Med 2021; 11:jpm11090833. [PMID: 34575611 PMCID: PMC8467521 DOI: 10.3390/jpm11090833] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Revised: 08/15/2021] [Accepted: 08/23/2021] [Indexed: 01/11/2023] Open
Abstract
(1) Background: there is a steady increase in the number of procedures performed via minimally invasive surgery, which have many benefits, but post-operative nausea and vomiting (PONV) and significant pain are still a common problem (2) Methods: 300 infertile women (18–40 years old) undergoing minimal invasive surgery. Interventions: laparoscopy and hysteroscopy performing, evaluation of postoperative symptoms, serotonin concentrations assessment, identify genetic polymorphisms. (3) Results: serotonin concentrations were significantly lower among women who required opioids (p = 0.006). The presence of the GG genotype in the rs6318 polymorphism of the 5HTR2C gene had a protective effect on PONV (OR = 0.503; C.I. = [0.300–0.841]; p = 0.008), when the GG variant of the rs11214763 polymorphism of the 5HTR3B gene, when the risk of PONV was 1.65-fold higher (OR = 1.652; C.I. = [1.003–2.723]; p = 0.048). Pain intensity was significantly higher among women with GG genotype of the rs6296 polymorphism of the 5HTR1B gene (OR = 1.660; C.I. = [1.052–2.622]; p = 0.029).; (4) Conclusions: the evaluation of serotonin concentration predicts requirement for opioid pain relief medication. The polymorphisms of the serotonin receptors affect the intensity of postoperative complaints.
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Affiliation(s)
- Natalia Ignaszak-Kaus
- Department of Infertility and Reproductive Endocrinology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland; (A.M.); (L.P.); (P.J.)
- Correspondence: ; Tel.: +48-663360375
| | - Antoni J. Duleba
- Department of Reproductive Medicine, University of California, La Jolla, San Diego, CA 92093, USA;
| | - Aleksandra Mrozikiewicz
- Department of Infertility and Reproductive Endocrinology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland; (A.M.); (L.P.); (P.J.)
| | - Grażyna Kurzawińska
- Division of Perinatology and Women’s Diseases, Poznan University of Medical Sciences, 60-535 Poznan, Poland;
- Laboratory of Molecular Biology, Division of Perinatology and Women’s Diseases, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Agata Różycka
- Department of Biochemistry and Molecular Biology, Poznań University of Medical Sciences, 60-781 Poznan, Poland; (A.R.); (P.P.J.)
| | - Jan Hauke
- Faculty of Human Geography and Planning, Adam Mickiewicz University, 61-712 Poznan, Poland;
| | - Michał Gaca
- Clinics of Anaesthesiology in Obstetrics and Gynecology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland;
| | - Leszek Pawelczyk
- Department of Infertility and Reproductive Endocrinology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland; (A.M.); (L.P.); (P.J.)
| | - Paweł Piotr Jagodziński
- Department of Biochemistry and Molecular Biology, Poznań University of Medical Sciences, 60-781 Poznan, Poland; (A.R.); (P.P.J.)
| | - Piotr Jędrzejczak
- Department of Infertility and Reproductive Endocrinology, Poznan University of Medical Sciences, Polna 33, 60-535 Poznan, Poland; (A.M.); (L.P.); (P.J.)
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