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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Chronic pain after hand-assisted laparoscopic donor nephrectomy.
M Zorgdrager1, M van Londen2, L B Westenberg1
1Department of Radiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
The British Journal of Surgery
|March 29, 2019
Summary
Chronic pain affects nearly a quarter of kidney donors post-donation, with younger donors and longer hospital stays being risk factors. This discomfort can impact daily activities and may require pain management.
Area of Science:
- Nephrology
- Surgical Outcomes
- Pain Management
Background:
- Limited data exists on chronic pain following kidney donation.
- Hand-assisted laparoscopic nephrectomy is a common donation procedure.
Purpose of the Study:
- To determine the incidence of chronic pain after hand-assisted laparoscopic nephrectomy in living kidney donors.
- To identify factors associated with post-donation pain.
Main Methods:
- A cohort of 333 living kidney donors who underwent hand-assisted laparoscopic nephrectomy between 2011-2017 were assessed.
- Pain and movement disabilities were evaluated using the Carolinas Comfort Scale (CCS) and Visual Analogue Scale (VAS).
- Prevalence, severity, analgesic use, and associated factors were reported.
Main Results:
- 24.6% of donors reported chronic pain (CCS > 0) at a median of 19 months post-donation.
- 33.0% reported pain (VAS > 0), with common complaints during bending and exercise.
- Younger donor age and longer hospital stay were independently associated with chronic pain.
Conclusions:
- Chronic pain and discomfort are experienced by a significant portion of kidney donors.
- The findings highlight the need for better understanding and management of post-donation pain.
- Younger donors and those with extended hospital stays require closer monitoring for chronic pain.
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