Pain after laparoscopic antireflux surgery

Bunting, DM; Szczebiot, Lukasz; Peyser, P

doi:10.1308/003588414x13824511649256

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…Pain was mild or moderate in the majority and severe in 4% of patients. Neither frequency nor severity of pain was associated with operation type [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamics of quality of life improvement after floppy Nissen fundoplication for gastroesophageal reflux disease.

Kaska

Pindel

Szarmach

et al. 2015

Videosurgery and Other Miniinvasive Techniques

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IntroductionGastroesophageal reflux disease (GERD) has a negative impact on global quality of life (QOL) of patients. In patients affected by GERD, laparoscopic Nissen fundoplication is one of the most commonly performed laparoscopic procedures worldwide.AimTo prospectively analyze the dynamics of QOL as well as severity of pain in patients with GERD, before and after laparoscopic floppy Nissen fundoplication.Material and methodsThe study involved 104 consecutive patients operated on for GERD in whom laparoscopic floppy Nissen fundoplication was performed. QOL was assessed before surgery and 1, 3, 6, 12 and 24 months after. The following instruments were used: FACIT-G, FACIT-TS-G, GIQLI, GERD symptom scale.ResultsIt was found that symptom relief and quality of life improvement presented different dynamics in the postoperative course. Observations revealed relief of symptoms 1 month after surgery and improvement in QOL related to the gastrointestinal tract and pain 3 months after surgery. Global QOL increased significantly as late as 12 months after surgery.ConclusionsGastroesophageal reflux disease is a chronic disease of long duration, leading to impairment of quality of life. Patients, apart from typical symptoms of GERD, suffer from pain of significant severity. QOL improves significantly after surgery. Surgical treatment results in relief of GERD symptoms, which leads to gradual improvement of QOL.

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“…Pain was mild or moderate in the majority and severe in 4% of patients. Neither frequency nor severity of pain was associated with operation type [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamics of quality of life improvement after floppy Nissen fundoplication for gastroesophageal reflux disease.

Kaska

Pindel

Szarmach

et al. 2015

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

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“…The incidence of rectal pain after laparoscopic "rectal" cancer surgery has been reported at 13.5% and after laparoscopic surgery for endometriosis, chronic PP has been reported by 27%-38% at mid to long-term FU [22][23][24] Additionally, pain after laparoscopic antireflux surgery occurs in over 20% of patients and 8%-16% experience chronic pain to a degree that impairs their daily lives after an inguinal hernia repair. [25][26][27] Our results show 47% of the patients reported improvement in their pre-LVMR PP at long-term FU, however, de-novo PP which lasted for more than 3 months was reported by 15% of the patients. In our view, PP in patients presenting with rectal prolapse may be a complex interplay of mechanics and neurogenic pain, often complicated by the impact of chronic pain syndrome.…”

Section: Discussionmentioning

confidence: 58%

“…The incidence of rectal pain after laparoscopic “rectal” cancer surgery has been reported at 13.5% and after laparoscopic surgery for endometriosis, chronic PP has been reported by 27%–38% at mid to long-term FU 22–24 Additionally, pain after laparoscopic anti-reflux surgery occurs in over 20% of patients and 8%–16% experience chronic pain to a degree that impairs their daily lives after an inguinal hernia repair. 25–27…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perception of Long-term Outcome After Laparoscopic Ventral Mesh Rectopexy; Single Tertiary Center Experience

et al. 2020

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Objective: To assess patients' long-term outcome and satisfaction after laparoscopic ventral mesh rectopexy (LVMR). Summary of Background Data: Data on the long-term outcome and satisfaction of patients undergoing LVMR are limited. Methods: Patients who underwent LVMR between 2004 and 2017 were identified from a prospectively maintained database. We attempted to contact all patients by telephone for an interview using a standardized questionnaire to record pre-LVMR symptoms, long-term outcome, and overall satisfaction. Results: Total number of patients who underwent LVMR was 848 and 99 (12%) were deceased at follow-up. In the end, 544 (64%) patients were contacted successfully and 478 (56%) were able to complete the questionnaire. Median time elapsed since surgery was 7 years and mean age was 62 years. Patients' reported preoperative symptoms were obstructed defecation syndrome in 40%, fecal incontinence in 22%, combination of obstructed defecation syndrome and fecal incontinence in 21% and other conditions in 17%. Bowel symptoms were reported as improved by 69% of patients and worse by 12%. Pelvic pain was reported to be improved in 47% of the patients after LVMR but new onset of pelvic pain appeared in 15%. Sexual function was reported to be better and worse with equal frequency. Overall, 63% of the patients were satisfied with the outcome and 76% would recommend this procedure to others with similar symptoms. Conclusion: LVMR offers acceptable long-term outcomes and satisfaction. There is a mixed impact on pelvic pain and sexual function which requires careful consideration in counseling patients for this procedure.

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“…Women reporting pain were younger, with associated factors of early postoperative pain, fibromyalgia, worse physical health and somatization [38]. Similarly, Bunting et al [39], in a systematic review, included 17 studies containing 2737 patients who underwent laparoscopic antireflux surgery and observed that over 20% of patients reported pain at a median follow‐up of 43 months.…”

Section: Discussionmentioning

confidence: 99%

Pelvic pain is a common prolapse symptom and improvement after ventral mesh rectopexy is more frequent than deterioration or de novo pain

et al. 2022

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Aim The aim of this work was to assess the relationship between pelvic pain and rectal prolapse both before prolapse surgery and in the long term after ventral mesh rectopexy (VMR). Method Patients undergoing VMR between 2004 and 2017 were contacted. Outcomes including the severity of pelvic pain were recorded using a numeric rating scale. Results Four hundred and seventy eight of the 749 patients (64%) were successfully contacted. Of these, 39% reported pre‐existing pelvic pain prior to VMR (group A) and 61% were pain free (group B). The median follow‐up time was 8.0 years (interquartile range 5.0–10.0 years). Symptoms of obstructed defaecation were significantly more common (p = 0.002) in group A (91/187, 49%) than in group B (101/291, 35%). In contrast, faecal incontinence was more common (p = 0.007) in group B (75/291, 26%) than in group A (29/187, 15%). In group A, 76% showed improvement in pelvic pain after VMR: 61% were pain free and 39% had partial improvement in their pre‐existing pelvic pain. Patients with persistent pelvic pain were younger (p = 0.01) and more likely to have revisional surgery after VMR (p = 0.0003), but there was no relation to the indication for surgery (p = 0.59). In group B, 15% reported de novo pelvic pain after VMR, and this was more common in women under 50 years old (p = 0.001), when obstructed defaecation was the indication (p = 0.03), in mesh erosion (p = <0.05) and when associated with revisional surgery (p = 0.005). Conclusion Pelvic pain is common (39%) in patients undergoing prolapse surgery, and VMR improves this pain in most patients (76%). However, a significant number of patients fail to improve (12%), experience worsening of pain (12%) or develop de novo pelvic pain (15%).

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Pain after laparoscopic antireflux surgery

Cited by 6 publications

References 31 publications

Dynamics of quality of life improvement after floppy Nissen fundoplication for gastroesophageal reflux disease.

Dynamics of quality of life improvement after floppy Nissen fundoplication for gastroesophageal reflux disease.

Patients’ Perception of Long-term Outcome After Laparoscopic Ventral Mesh Rectopexy; Single Tertiary Center Experience

Pelvic pain is a common prolapse symptom and improvement after ventral mesh rectopexy is more frequent than deterioration or de novo pain

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