Our Summary

This research looks at the pain experienced by patients after they have had colorectal surgery. The study included patients who had this type of surgery between March 2013 and April 2017, and they were part of a recovery program called ERAS. The researchers found that between 50% and 64% of patients reported moderate to severe pain up to three days after their surgery. It was also found that the type of surgery (open or minimally invasive) did not significantly change the level of pain experienced. However, younger patients reported more pain, and those with type 2 diabetes reported less pain on the day of the surgery. The study emphasises the need for personalised pain management after colorectal surgery, as pain levels can vary greatly between patients.

FAQs

  1. What was the purpose of the research on pain experienced by patients after colorectal surgery?
  2. What were the findings regarding the level of pain experienced by patients based on the type of surgery (open or minimally invasive)?
  3. How does the study suggest pain management should be handled after colorectal surgery?

Doctor’s Tip

One helpful tip a doctor might give a patient about colorectal surgery is to stay on top of pain management by taking prescribed pain medication as directed. It is important to communicate with your healthcare provider about any pain you are experiencing so they can adjust your medication as needed. Additionally, practicing relaxation techniques, such as deep breathing exercises, and staying active (within your doctor’s guidelines) can help manage pain and promote healing after surgery. Remember to follow your doctor’s post-operative instructions closely to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended for colorectal surgery include those with conditions such as colorectal cancer, inflammatory bowel disease, diverticulitis, colorectal polyps, and other gastrointestinal issues that cannot be managed with medication or other non-invasive treatments. Other factors that may indicate the need for colorectal surgery include severe or chronic symptoms such as bleeding, bowel obstruction, or persistent abdominal pain. Additionally, patients who have not responded well to conservative treatments or who are at high risk for complications may also be recommended for surgery. Ultimately, the decision to undergo colorectal surgery is made on a case-by-case basis by a healthcare provider after a thorough evaluation of the patient’s specific condition and medical history.

Timeline

Before colorectal surgery:

  1. Consultation with a surgeon to discuss the need for surgery and potential risks and benefits.
  2. Pre-operative tests and evaluations are conducted to ensure the patient is fit for surgery.
  3. Patient follows pre-operative instructions, such as fasting before surgery and stopping certain medications.
  4. Surgery is scheduled, and the patient undergoes the procedure.

After colorectal surgery:

  1. Patient wakes up in the recovery room and is monitored for any complications.
  2. Patient is given pain medication to manage post-operative pain.
  3. Patient is gradually allowed to start drinking and eating again.
  4. Patient is encouraged to start walking and moving around to prevent complications such as blood clots.
  5. Patient is discharged from the hospital once they are stable and able to manage at home.
  6. Follow-up appointments are scheduled to monitor recovery and address any concerns or complications.
  7. Patient may undergo physical therapy or rehabilitation to regain strength and function.
  8. Patient may experience pain and discomfort as they recover, which may require ongoing management and support.

What to Ask Your Doctor

  1. What type of colorectal surgery do you recommend for my specific condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery process expected to take?
  4. What can I do to prepare for the surgery and optimize my recovery?
  5. What type of pain management options will be available to me after the surgery?
  6. How can I best communicate my pain levels to you and the medical team?
  7. Are there any lifestyle changes or precautions I should take post-surgery?
  8. How frequently will I need follow-up appointments after the surgery?
  9. What signs or symptoms should I watch out for that may indicate a complication?
  10. Are there any dietary restrictions or modifications I should adhere to during my recovery period?

Reference

Authors: Lindberg M, Franklin O, Svensson J, Franklin KA. Journal: Int J Colorectal Dis. 2020 Jul;35(7):1265-1272. doi: 10.1007/s00384-020-03580-4. Epub 2020 Apr 21. PMID: 32318795