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POSTOPERATIVE PAIN AND STRESS RESPONSE: DOES CHILD'S GENDER HAVE AN INFLUENCE?

Marijana Karišik1, Najdana Gligorović Barhanović1, Tatjana Vulović1

  • 11Department of Anesthesiology, Institute for Children's Diseases, Clinical Centre of Montenegro, Podgorica, Montenegro; 2Centre for Clinical Laboratory Diagnostics, Clinical Centre of Montenegro, Podgorica, Montenegro; 3School of Medicine, University of Kragujevac, Kragujevac, Serbia; 4Centre for Anesthesiology and Resuscitation, Clinical Centre Kragujevac, Kragujevac, Serbia; 5School of Medicine, University of Belgrade, Belgrade, Serbia; 6University Children's Hospital, Belgrade, Serbia.

Acta Clinica Croatica
|December 11, 2019
PubMed

Insights

Male children experienced a greater neuroendocrine stress response and more intense postoperative pain after inguinal hernia repair. Parents reported higher satisfaction with care for girls.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Pediatric Endocrinology

Background:

  • Surgical procedures induce a significant multisystem stress response.
  • Understanding factors influencing this response, like gender, is crucial for optimizing pediatric surgical care.
  • Previous research has not fully elucidated gender-specific differences in neuroendocrine responses and pain perception in pediatric surgical patients.

Purpose of the Study:

  • To investigate the impact of gender on the neuroendocrine stress response to surgery.
  • To assess gender-specific differences in postoperative pain intensity in children.
  • To evaluate parental satisfaction with preoperative and postoperative care based on child's gender.

Main Methods:

  • A comparative study involving 60 children (3-6 years old) undergoing inguinal hernia repair.
  • Participants were divided into two groups: 30 boys and 30 girls, all American Society of Anesthesiologists PS Class I.
  • Serum cortisol levels, pain intensity (Wong-Baker FACES scale), and parental satisfaction were measured preoperatively and postoperatively.

Main Results:

  • Male children exhibited a significantly stronger neuroendocrine response to surgical stress compared to girls.
  • Boys reported higher intensity of postoperative pain than girls.
  • Parents of girls reported greater satisfaction with both preoperative and postoperative care.

Conclusions:

  • Gender influences the neuroendocrine stress response and postoperative pain perception in pediatric patients undergoing inguinal hernia repair.
  • Male children, particularly those who are the only child, may require tailored pain management strategies.
  • Addressing parental concerns and enhancing communication could improve satisfaction, especially for male patients' families.

Keywords:
Anesthesia and analgesiaChildGeneral surgeryPain, postoperative

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