Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication

The British Journal of Surgery
Thue BisgaardJacob Rosenberg

Abstract

The aim of this study was to define factors that limit a short period of convalescence and to characterize the pain experienced after laparoscopic fundoplication. This prospective study included 60 consecutive patients who underwent uncomplicated laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. Patients were recommended to convalesce for 2 days after operation. Duration of convalescence, dysphagia, fatigue, nausea, vomiting and different pain components were registered daily during the first week and on days 10 and 30 after fundoplication. Thirty-nine patients took a median of 13 (range 3-41) days off work and 60 stayed away from recreational activity for a median of 4 (range 1-22) days. Pain, fatigue and plans made before operation were the main contributors to prolonged convalescence. Some 30-40 per cent of the patients reported moderate or severe dysphagia during the study period. Fatigue scores were significantly increased for 6 days after surgery (P < 0 . 001). Visceral pain dominated over incisional and shoulder pain throughout the study. At day 30, 17 per cent of the patients reported moderate or severe visceral pain. Pain and dysphagia are significant problems after uncomplicated total laparosco...Continue Reading

References

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Citations

Jun 21, 2011·Surgical Endoscopy·Mette A TolverThue Bisgaard
Aug 2, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J R EriksenJ Rosenberg
Sep 26, 2014·Science Translational Medicine·Brice GaudillièreGarry P Nolan
Aug 30, 2008·Journal of Manipulative and Physiological Therapeutics·Chun-Chang YehChih-Shung Wong
Jul 11, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Marie Ellström Engh, Wenche Hauso
Jan 21, 2012·Acta Anaesthesiologica Scandinavica·M A TolverT Bisgaard
May 10, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·P KjølhedeK Wijma
Dec 5, 2002·Surgery·Thue BisgaardJacob Rosenberg
Dec 22, 2011·European Journal of Gastroenterology & Hepatology·Salman NusratKlaus Bielefeldt
Dec 15, 2015·Anesthesiology·Gabriela K FragiadakisMartin S Angst
May 2, 2014·Annals of the Royal College of Surgeons of England·D M BuntingP M Peyser

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