Key result
Laparoscopic colonic surgery was associated with higher minimum pain scores than open surgery (P=0.012), while maximum pain scores >3 occurred in 77% vs 68% of patients.
Why the study?
Does laparoscopic surgery improve postoperative pain outcomes compared to open surgery in patients undergoing colonic surgery?
Population
607 patients undergoing colonic surgery from the international PAIN OUT registry
Comparison
Laparoscopic colonic surgery vs Open colonic surgery
Design
Cohort
Follow-up
24 hours
Authors
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Laparoscopic colonic surgery was associated with lower early pain scores; leaves open whether this should influence surgical decisions pending RCTs.
Cohort (n=607)
Yes
Does laparoscopic surgery improve postoperative pain outcomes compared to open surgery in patients undergoing colonic surgery?
Absolute Event Rate: 77% vs 68%
Surgical technique (laparoscopic vs open) does not significantly influence the quality of postoperative pain management during the first postoperative day if adequate analgesia is provided.
Allvin et al. (2016) conducted a cohort in Colonic surgery (n=607). Laparoscopic colonic surgery vs. Open colonic surgery was evaluated on Maximum pain scores >3 within the first 24 hours. Laparoscopic colonic surgery was associated with higher minimum pain scores than open surgery (P=0.012), while maximum pain scores >3 occurred in 77% vs 68% of patients.
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