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Components of pain assessment after laparoscopic donor nephrectomy
Author(s) -
ERGÜN M.,
BERKERS A. W.,
JAGT M. F.,
LANGENHUIJSEN J. F.,
ÖZDEMIRBRUNSCHOT D.,
VLIET J. A.,
D'ANCONA F. C.,
WARLÉ M. C.
Publication year - 2014
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/aas.12236
Subject(s) - medicine , nephrectomy , abdomen , surgery , pain assessment , laparoscopic surgery , abdominal pain , anesthesia , abdominal surgery , laparoscopy , pain management , kidney
Background Pain after laparoscopic surgery can be divided into three components: incisional or superficial wound pain, deep intra‐abdominal pain and referred shoulder pain. Better understanding and adequate assessment of post‐operative pain may be an important clue to the optimisation of recovery after laparoscopic surgery. Therefore, we performed a components of pain assessment after laparoscopic donor nephrectomy. Methods Twenty patients who underwent a laparoscopic donor nephrectomy were included in this prospective study. Pain was subdivided into three components: superficial wound pain, deep intra‐abdominal pain and referred shoulder pain, and for each component a numeric rating scale (from 0 to 10) was obtained at 1, 24 and 48 h after surgery. Results Repeated measurements analysis of variance showed that during the first 48 h after surgery, the superficial wound and deep intra‐abdominal pain components were significantly higher as compared with the referred shoulder pain component. Although the deep intra‐abdominal pain component was slightly higher as compared with superficial wound pain, this difference was not significant ( P = 0.097). Further assessment of superficial wound pain showed that the P fannenstiel incision was the most significant determinant of this component of pain ( P = 0.004), whereas deep intra‐abdominal pain was significantly higher at the ipsilateral side of the abdomen ( P = 0.015). Discussion The components of pain assessment revealed that pain related to the P fannenstiel incision and the deep intra‐abdominal pain component are the most important determinants of pain after laparoscopic donor nephrectomy. Further improvement of the management of post‐operative pain should focus on these components of pain.