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Related Experiment Video

Updated: Dec 23, 2025

Murine Ileocolic Bowel Resection with Primary Anastomosis
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Postoperative pain after colorectal surgery.

Margaretha Lindberg1, Oskar Franklin1, Johan Svensson1,2

  • 1Department of Surgical and Perioperative Sciences, Surgery, Umeå University, SE-901 85, Umeå, Sweden.

International Journal of Colorectal Disease
|April 23, 2020
PubMed
Summary
This summary is machine-generated.

Postoperative pain is common after colorectal surgery, especially for younger patients. Individualized pain management is crucial due to unpredictable patient responses.

Keywords:
Colorectal surgeryMinimally invasive surgeryNumeric rating scalePostoperative painRisk factors

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Area of Science:

  • Colorectal surgery outcomes
  • Pain management strategies
  • Perioperative care optimization

Background:

  • Postoperative pain significantly impedes patient recovery following colorectal surgery.
  • Effective pain management is a critical component of enhanced recovery pathways.
  • Identifying risk factors for severe pain is essential for improving patient outcomes.

Purpose of the Study:

  • To evaluate the incidence and severity of postoperative pain in patients undergoing elective colorectal surgery.
  • To identify patient-specific and surgery-related risk factors associated with postoperative pain.
  • To assess the effectiveness of the Enhanced Recovery after Surgery (ERAS) program in managing pain.

Main Methods:

  • Prospective cohort study of 434 patients undergoing elective colorectal surgery within an ERAS program (March 2013 - April 2017).
  • Pain severity assessed using the Numeric Rating Scale (NRS).
  • Logistic regression analysis employed to identify associations between pain and surgical approach, age, gender, and comorbidities.

Main Results:

  • 50-64% of patients reported moderate to severe pain (NRS 4-10) from surgery day to postoperative day 3.
  • Minimally invasive colonic surgery patients had more pain initially but less later compared to open colonic surgery.
  • Younger age and type 2 diabetes were significant factors influencing pain levels.

Conclusions:

  • A majority of patients experience moderate to severe pain post-colorectal surgery, even within ERAS protocols.
  • Younger patients are particularly susceptible to higher pain levels.
  • Predicting individual pain response remains challenging, highlighting the need for tailored analgesia.