Our Summary

This research paper examines the use of opioids, a type of painkiller, after colorectal surgery (surgery on the colon or rectum) and the effects it has on patient recovery and medical costs. The study looked at over 50,000 surgeries and found that patients who did not use opioids after surgery had a faster recovery time, needed less care after leaving the hospital, and had lower overall costs. The study also found that a type of surgery called laparoscopy, which uses smaller cuts, resulted in less opioid use and also had better outcomes and lower costs. This research suggests that reducing the use of opioids and increasing the use of laparoscopy could improve patient recovery and reduce healthcare costs.

FAQs

  1. What is the relationship between opioid use after colorectal surgery and patient recovery time?
  2. How does the use of laparoscopy in colorectal surgery impact the need for opioids and the overall cost?
  3. How could reducing the use of opioids and increasing the use of laparoscopy potentially impact healthcare costs and patient recovery outcomes?

Doctor’s Tip

A helpful tip a doctor might tell a patient about colorectal surgery is to follow their prescribed pain management plan carefully and try to reduce the use of opioids as much as possible. This can help speed up recovery, decrease the need for additional medical care, and lower overall costs. Additionally, discussing the option of laparoscopic surgery with your doctor may also lead to better outcomes and reduced opioid use. It’s important to have open communication with your healthcare team about your pain management plan and any concerns you may have.

Suitable For

Patients who are typically recommended colorectal surgery include those with:

  • Colorectal cancer
  • Polyps in the colon or rectum
  • Inflammatory bowel disease (such as Crohn’s disease or ulcerative colitis)
  • Diverticulitis
  • Rectal prolapse
  • Anal fistulas or fissures
  • Colorectal trauma or injury

These conditions may require surgical intervention to remove tumors, repair damage, alleviate symptoms, or improve overall health and well-being. Patients who have not responded to conservative treatments, such as medication or lifestyle changes, may be candidates for colorectal surgery. Additionally, patients with a family history of colorectal cancer or other hereditary conditions that increase the risk of developing colorectal problems may also be recommended for surgery as a preventive measure.

Timeline

Before colorectal surgery:

  1. Patient undergoes pre-operative evaluation, including medical history, physical exam, and possibly imaging tests.
  2. Patient may need to make dietary and lifestyle changes leading up to the surgery.
  3. Patient may need to stop taking certain medications in preparation for the surgery.
  4. Patient meets with the surgical team to discuss the procedure and ask any questions.
  5. Patient undergoes the surgery.

After colorectal surgery:

  1. Patient wakes up in the recovery room and is monitored closely by medical staff.
  2. Patient may experience pain and discomfort, which is managed with pain medications.
  3. Patient is gradually allowed to start eating and drinking again.
  4. Patient may need to stay in the hospital for a few days for monitoring and recovery.
  5. Patient is discharged from the hospital and goes home to continue recovery.
  6. Patient may need to follow a special diet and take medications as prescribed.
  7. Patient may need to attend follow-up appointments with the surgical team for monitoring and to address any concerns.
  8. Patient gradually resumes normal activities and may need physical therapy or other rehabilitation services.
  9. Patient may experience changes in bowel habits and may need to make adjustments to their lifestyle.
  10. Patient continues to follow up with their healthcare team for long-term monitoring and management of their condition.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with colorectal surgery?

  2. What is the expected recovery time after colorectal surgery?

  3. What type of pain management options are available after surgery, and what are the potential side effects of each option?

  4. How can I minimize the use of opioids after surgery and manage my pain effectively?

  5. Are there any alternative treatments or therapies that can help with pain management and promote faster recovery?

  6. What are the benefits of laparoscopic surgery compared to traditional open surgery for colorectal procedures?

  7. What is the success rate of colorectal surgery, and what factors can affect the outcome of the procedure?

  8. How long will I need to stay in the hospital after surgery, and what follow-up care will be required?

  9. Are there any lifestyle changes or dietary modifications I should make before or after surgery to support my recovery?

  10. What is the expected cost of the surgery and post-operative care, and are there any financial assistance options available?

Reference

Authors: Keller DS, Zhang J, Chand M. Journal: Surg Endosc. 2019 Jun;33(6):1959-1966. doi: 10.1007/s00464-018-6477-5. Epub 2018 Oct 17. PMID: 30334153