Pain perception after colorectal surgery: A propensity score matched prospective cohort study

Grass, Fabian; Cachemaille, Matthieu; Martín, David; Fournier, Nicolas; Hahnloser, Dieter; Blanc, Catherine; Demartines, Nicolas

doi:10.5582/bst.2017.01312

Cited by 15 publications

(10 citation statements)

References 38 publications

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“…The pain score was measured on day 5 after surgery as described previously. 19 The inflammation score was measured as described previously. 20 Survival was compared between the AUCN and AICN groups after 2 years of follow-up.…”

Section: Discussionmentioning

confidence: 99%

Clinical efficacy of anesthesia with intensive care nursing in attenuating postoperative complications in patients with breast cancer

Song

Wang

et al. 2020

J Int Med Res

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Objective Complications frequently occur in patients with breast cancer after surgery. Anesthesia nursing plays an important role in decreasing complications for such patients. Thus, this study investigated the effects of anesthesia with intensive care nursing (AICN) on complication rates in patients with breast cancer after surgery. Methods Eighty-two patients with breast cancer were recruited in this study. Complications were compared between the anesthesia with usual nursing care (AUCN) and AICN groups. Results The results demonstrated that AICN decreased the rates of incision infection, drug extravasation, and catheter exposure, as well as pain and inflammation scores, compared with the findings in the AUCN group. AICN improved the time to orientation and decreased the incidence of nausea, anxiety, depression, and vomiting versus AUCN. In addition, AICN shortened the time to awakening after anesthesia compared with the effects of AUCN. Furthermore, AICN shortened hospital stay and increased survival rates. Notably, AICN improved health-related quality of life as measured using the EORTC QLQ-C30 questionnaire. Conclusion AICN provided more benefits and better postoperative outcomes than AUCN, suggesting its utility for minimizing complications in patients with breast cancer after surgery.

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Section: Discussionmentioning

confidence: 99%

Clinical efficacy of anesthesia with intensive care nursing in attenuating postoperative complications in patients with breast cancer

Song

Wang

et al. 2020

J Int Med Res

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“…Colorectal surgery has seen a major shift from open to laparoscopic techniques in recent years. Compared to open surgery, laparoscopic colorectal surgery results in similar visceral acute postoperative pain, whereas the parietal component of postoperative pain is significantly different, resulting in overall lower pain intensity on mobilization [167]. Compared to placebo or routine analgesia, WI appears to reduce opioid requirements and pain scores and improves recovery after colorectal surgery [87,168].…”

Section: Colorectal Surgerymentioning

confidence: 99%

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Stamenković

Bezmarević

Bojić

et al. 2021

JCM

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Local anesthetic wound infiltration (WI) provides anesthesia for minor surgical procedures and improves postoperative analgesia as part of multimodal analgesia after general or regional anesthesia. Although pre-incisional block is preferable, in practice WI is usually done at the end of surgery. WI performed as a continuous modality reduces analgesics, prolongs the duration of analgesia, and enhances the patient’s mobilization in some cases. WI benefits are documented in open abdominal surgeries (Caesarean section, colorectal surgery, abdominal hysterectomy, herniorrhaphy), laparoscopic cholecystectomy, oncological breast surgeries, laminectomy, hallux valgus surgery, and radical prostatectomy. Surgical site infiltration requires knowledge of anatomy and the pain origin for a procedure, systematic extensive infiltration of local anesthetic in various tissue planes under direct visualization before wound closure or subcutaneously along the incision. Because the incidence of local anesthetic systemic toxicity is 11% after subcutaneous WI, appropriate local anesthetic dosing is crucial. The risk of wound infection is related to the infection incidence after each particular surgery. For WI to fully meet patient and physician expectations, mastery of the technique, patient education, appropriate local anesthetic dosing and management of the surgical wound with “aseptic, non-touch” technique are needed.

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“…[3] Conversely, adequately treated postoperative pain leads to shortened hospital stays, reduced hospital costs, and increased patient satisfaction. [4,5] Opioids have been the mainstay of traditional postoperative pain management despite their common side effects of constipation, fall risk, altered mental status, nausea and vomiting, urinary retention, and respiratory depression. [6] The opioid epidemic in the United States has increased provider awareness to limit opioid usage, [7,8] however, usage remains high, especially in colorectal surgery which ranks third amongst surgical specialties in postoperative opioid prescriptions.…”

Section: Introductionmentioning

confidence: 99%

Male gender, smoking, younger age, and preoperative pain found to increase postoperative opioid requirements in 592 elective colorectal resections

Karlsdottir

Wahba

et al. 2022

Int J Colorectal Dis

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With increased awareness of the opioid epidemic, understanding contributing factors to postoperative opioid use is important. The purpose of this study was to evaluate patient and perioperative factors that contribute to postoperative opioid use after colorectal resections and their relation to pre-existing pain conditions and psychiatric diagnoses. MethodsA retrospective review was conducted identifying adult patients who underwent elective colorectal resection at a single tertiary center between 2015 and 2018. Patient demographics, preoperative factors, surgical approach, and perioperative pain management were evaluated to determine standard conversion morphine milligram equivalents required for postoperative days 0 to 3 and total hospital stay. ResultsFive hundred and ninety-two patients: 46% male, median age 58 years undergoing colorectal resections for indications including cancer, in ammatory bowel disease, and diverticulitis were identi ed. Less opioid use was found to be associated with female gender (β = -42), patients who received perioperative lidocaine infusion (β = -30), and older adults (equivalents/year) (β = -4, all p < 0.01). Preoperative opioid use, preoperative abdominal pain, epidural use and smoking were all independently associated with increased postoperative opioid requirements. ConclusionsIn this study of patients undergoing elective colorectal resection, factors that were associated with higher perioperative opioid use included male gender, smoking, younger age, preoperative opioid use, preoperative abdominal pain, and epidural use. Perioperative administration of lidocaine was associated with decreased opioid requirements. Understanding risk factors and stratifying postoperative pain regimens may aid in improved pain control and decrease long-term dependency.

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Pain perception after colorectal surgery: A propensity score matched prospective cohort study

Cited by 15 publications

References 38 publications

Clinical efficacy of anesthesia with intensive care nursing in attenuating postoperative complications in patients with breast cancer

Clinical efficacy of anesthesia with intensive care nursing in attenuating postoperative complications in patients with breast cancer

Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review

Male gender, smoking, younger age, and preoperative pain found to increase postoperative opioid requirements in 592 elective colorectal resections

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