Prevalence, characteristics and risk factors of chronic postsurgical pain after laparoscopic colorectal surgery: Retrospective analysis.
Eur J Anaesthesiol
; 32(10): 712-7, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26086282
ABSTRACT
BACKGROUND:
The prevalence of chronic postsurgical pain (CPSP) is a critical medical problem with economic implications. Its prevalence after gastrointestinal surgery is not well documented, particularly when a laparoscopic approach is used.OBJECTIVE:
The aim of the study was to determine the prevalence, the characteristics and the risk factors for CPSP after laparoscopic colorectal surgery.DESIGN:
A retrospective analysis using a postal questionnaire.SETTING:
The study was conducted at a university teaching hospital. PATIENTS Patients who underwent laparoscopic colorectal surgery from April 2008 until December 2011 (nâ=â260). No epidural analgesia was used. MAIN OUTCOMEMEASURES:
Postoperative pain intensity, incidence and characteristics of CPSP, and impact on quality of life and sleep.RESULTS:
Of 199 responses, 33 patients (17%) reported chronic pain at a median [interquartile range, IQR] of 38 [27 to 55] months after laparoscopic surgery with a median intensity of 4 [3 to 5]. CPSP had a negative impact on the quality of life in 84% of patients and on sleep in 43%. CPSP required regular analgesic(s) intake in 54% patients. Using a backward stepwise multivariate logistic regression model, the following variables were determined as independent risk factors for CPSP redo surgery for anastomotic leakage (Pâ=â0.01), inflammatory bowel disease (IBD) as the indication for surgery (Pâ=â0.01) and preoperative pain (Pâ=â0.05).CONCLUSION:
The incidence of CPSP after laparoscopic colorectal surgery (17%) is similar to those reported in the literature after laparotomy. Risk factors are redo surgery for postoperative peritonitis, IBD and preoperative pain. TRIAL REGISTRATION EudraCT 2012-005712-25.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
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Procedimentos Cirúrgicos do Sistema Digestório
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Laparoscopia
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Dor Crônica
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article