The magnitude and associated factors of post-operative pain among adult patients

Othow, Cham Ojulu; Ferede, Yonas Admasu; Tawuye, Hailu Yimer; Aytolign, Habtu Adane

doi:10.1016/j.amsu.2022.104406

Cited by 3 publications

(3 citation statements)

References 53 publications

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“…The less skin is incised, the less skin injury, nerve damage, and inflammatory response is injured. 32 Most included studies mentioned subcuticular suture as the preferable closure method. Besides enhancing the cosmetic outcome, the subcuticular suture has lesser wound tension and stress; therefore, this method might influence the postoperative pain scores.…”

Section: Discussionmentioning

confidence: 99%

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Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Rudiman

Hanafi

Almawijaya

2023

Annals of Gastroent Surgery

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BackgroundThe possibilities of minimally invasive cholecystectomy have emerged since the beginning of single‐incision laparoscopic cholecystectomy (SILC) and single‐site robotic cholecystectomy (SSRC). This study aimed to compare the feasibility, safety, and pain scores between SSRC and SILC.MethodsThe authors searched randomized or non‐randomized controlled trials and observational studies in PubMed, EuroPMC, and ClinicalTrials.gov from April 2012 until April 2022. The authors analyzed the operation time, hospital stay, blood loss volume, conversion rate, intraoperative complication rates, postoperative complications, visual analog scale (VAS) immediately after surgery, and VAS at hospital discharge. This study aligned with PRISMA and AMSTAR guidelines.ResultsThirteen studies were selected with 817 and 757 patients who underwent SSRC and SILC. Thus, this study demonstrated a lower incidence of intraoperative complication rates [relative risk (RR) 0.57 (95% CI 0.34–0.96), p = 0.03] and lesser VAS score at hospital discharge [Std. Mean Difference (SMD) −0.23 (95% CI −0.46, −0.01), p = 0.04] in the SSRC group. Regarding operation time and cost, SSRC revealed a longer time [SMD 1.02 (95% CI 0.45, 1.59), p = 0.0004] and higher cost [SMD 4.18 (95% CI 1.77, 6.58), p < 0.00001], respectively. Meanwhile, SSRC did not differ from SILC during a hospital stay, blood loss volume, conversion rate, postoperative complication rates, and VAS immediately after surgery.ConclusionsConcerning intraoperative complication rates and VAS score at hospital discharge, SSRC was superior to SILC. Thus, SSRC is considered a feasible and safe procedure.

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Section: Discussionmentioning

confidence: 99%

“…They concluded that a skin incision ≥10 cm was two times more likely to develop higher pain scores than those whose skin incision was <10 cm. The less skin is incised, the less skin injury, nerve damage, and inflammatory response is injured 32 . Most included studies mentioned subcuticular suture as the preferable closure method.…”

Section: Discussionmentioning

confidence: 99%

Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Rudiman

Hanafi

Almawijaya

2023

Annals of Gastroent Surgery

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“…Adults and children suffer the pain associated with different medical conditions, undergo different painful procedures, or are referred with acute pain to the emergency department Dahlhamer et al (2018); Keating and Smith (2011); Mura et al (2017); Othow et al (2022). Data suggest that 7 out of 10 patients come to the emergency department due to pain Todd et al (2007).…”

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confidence: 99%

Induced pain affects auricular and body biosignals: From cold stressor to deep breathing

Rapalis

Piartli²,

Jankauskaitė³

et al. 2023

Front. Physiol.

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Pain affects every fifth adult worldwide and is a significant health problem. From a physiological perspective, pain is a protective reaction that restricts physical functions and causes responses in physiological systems. These responses are accessible for evaluation via recorded biosignals and can be favorably used as feedback in active pain therapy via auricular vagus nerve stimulation (aVNS). The aim of this study is to assess the significance of diverse parameters of biosignals with respect to their deflection from cold stressor to deep breathing and their suitability for use as biofeedback in aVNS stimulator. Seventy-eight volunteers participated in two cold pressors and one deep breathing test. Three targeted physiological parameters (RR interval of electrocardiogram, cardiac deflection magnitude ZAC of ear impedance signal, and cardiac deflection magnitude PPGAC of finger photoplethysmogram) and two reference parameters (systolic and diastolic blood pressures BPS and BPD) were derived and monitored. The results show that the cold water decreases the medians of targeted parameters (by 5.6, 9.3%, and 8.0% of RR, ZAC, and PPGAC, respectively) and increases the medians of reference parameters (by 7.1% and 6.1% of BPS and BPD, respectively), with opposite changes in deep breathing. Increasing pain level from relatively mild to moderate/strong with cold stressor varies the medians of targeted and reference parameters in the range from 0.5% to 6.0% (e.g., 2.9% for RR, ZAC and 6.0% for BPD). The physiological footprints of painful cold stressor and relaxing deep breathing were shown for auricular and non-auricular biosignals. The investigated targeted parameters can be used as biofeedback to close the loop in aVNS to personalize the pain therapy and increase its compliance.

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A systematic review of the impact of apical patency on postoperative pain

Rezvani,

Eghtesad,

Kouchakzadeh

2024

J Shahrekord Univ Med Sci

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Background and aims: Apical patency (AP), a technique in endodontics, involves keeping a small opening in the apical foramen during root canal instrumentation. However, there has been a debate about its effect on postoperative pain. To clarify this issue, this systematic review aimed to study the literature and determine the impact of AP on postoperative pain after endodontic procedures. Methods: A systematic search was conducted across multiple databases, including PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Library, up to November 2, 2023. Studies on the relationship between AP and postoperative pain in endodontic treatments were included in this research. Relevant articles were independently screened, and data were extracted based on our study aims. Results: Eleven randomized controlled trial studies met the inclusion criteria. The findings indicated that among the included studies, six demonstrated no differences between the AP and non-AP (NAP) groups in terms of postoperative pain scores. In addition, four studies reported a decrease in operative pain in the AP group compared to the NAP group, and only one study showed that AP increases postoperative pain. However, conflicting evidence was observed in a subset of studies; there were no significant differences between the AP and NAP groups in terms of the postoperative pain scores. Conclusion: Compared with NAP, AP does not intensify the postoperative pain in teeth with vital and necrotic pulp.

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The magnitude and associated factors of post-operative pain among adult patients

Cited by 3 publications

References 53 publications

Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Single‐site robotic cholecystectomy versus single‐incision laparoscopic cholecystectomy: A systematic review and meta‐analysis

Induced pain affects auricular and body biosignals: From cold stressor to deep breathing

A systematic review of the impact of apical patency on postoperative pain

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