Mini-review: Perioperative pain management in gynecologic oncology - strategies and future directions.

Journal: Gynecologic oncology reports
Published Date: Jun 24, 2025

Abstract

This mini-review discusses important factors in opioid use in gynecologic oncology in the perioperative setting. Evidence-based prescribing guidelines, multimodal analgesia strategies, and individualized care in patients with a history of opioid use are discussed. Opioid tapering and its potential risks are also discussed. Additionally, we touch on machine learning in optimizing analgesia. By bridging evidence-based practices and advancements, this review outlines actionable recommendations to maximize patient care and facilitate responsible opioid stewardship in gynecologic oncology.

Authors

  • Teresa K L Boitano
    Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, AL, USA. tlboitano@uabmc.edu.
  • Benjamin Lai
    Department of Family Medicine, Mayo Clinic, Rochester Minnesota, United States.
  • Sean C Dowdy
    Mayo Clinic Comprehensive Cancer Center, Division of Gynecologic Oncology, Mayo Clinic, Rochester Minnesota, United States.
  • J Michael Straughn
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States.

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