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Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication. | LitMetric

Prospective analysis of convalescence and early pain after uncomplicated laparoscopic fundoplication.

Br J Surg

Department of Surgical Gastroenterology, H:S Hvidovre Hospital, University of Copenhagen, Hvidovre, University of Copenhagen, Hellerup, Denmark.

Published: November 2004

AI Article Synopsis

Article Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusion: Pain and dysphagia are significant problems after uncomplicated total laparoscopic fundoplication. The time taken off work and away from recreational activity exceeded the recommended 2 days of convalescence, justifying further efforts to optimize early clinical outcome after total laparoscopic fundoplication.

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Source
http://dx.doi.org/10.1002/bjs.4720DOI Listing

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