Postoperative pain remains a widespread but still underestimated problem. Studies have shown that despite improvements in pain management, many patients still suffer from moderate to severe postoperative pain. Severe pain is associated with decreased patient satisfaction, delayed postoperative ambulation, prolonged length of stay, risk of developing chronic postoperative pain, and increased morbidity and mortality. Therefore, it is of great importance that surgical procedures that result in severe pain and the optimal analgesic strategies for these procedures can be identified. Most recommendations on postoperative pain management (prevention and treatment) are not procedure-specific. However, risk factors for postoperative pain depend on the patient and the procedure. In order to develop procedure-specific postoperative pain management guidelines, pain must be assessed in a procedure-specific manner. Additionally, data is sparse on relatively new procedures like robotic surgery. A study, Harel et al. compared pain intensities after ureteral reimplantation with robotic or open surgery in children and reported lower pain scores after robotic surgery. This single study reinforces the clinical findings that robotic surgery is associated with less pain. However, pain assessment after robotic urologic surgery has not been evaluated before. In order to add to the evaluation of postoperative pain in different surgical groups, we wish to evaluate pain intensities after robot-assisted urological surgery. In this cohort study, we seek to provide an estimate of the pain intensities that can be expected after most types of robot-assisted urological surgery in relation to analgesic treatment.
Study Type
OBSERVATIONAL
Enrollment
968
Patient with programmed robot-assisted urological surgery
CHU St Pierre - Bruxelles
Brussels, Belgium
Clinique Victor PAUCHET
Amiens, France
Clinique de l'Anjou
Angers, France
Hôpital Privé Arras les Bonnettes
Arras, France
Polyclinique Sainte Marguerite - Institut d'Urologie- Auxerre
Auxerre, France
Hôpital Privé de la Châtaigneraie - Beaumont
Pain level on D1 of surgery
Measurement of pain intensity on D1 of surgery, assessed with a simple numerical scale (ENS). Scores range from 0-10 points, with higher scores indicating greater pain intensity.
Time frame: Day 1 after surgery
Pain intensity (NRS) at rest and during exercise
Pain intensity on the second day after surgery (NRS) at rest and during exercise. Pain intensity assessed with a simple numerical scale (ENS). Scores range from 0-10 points, with higher scores indicating greater pain intensity.
Time frame: Second day after surgery
Highest pain score at rest and during exercise
Highest pain score in the first 48 hours at rest and during exercise. Pain intensity assessed with a simple numerical scale (ENS). Scores range from 0-10 points, with higher scores indicating greater pain intensity.
Time frame: In the first 48 hours
Presence of side effect: Nausea and vomiting
Patient presenting or not nausea and vomiting in the first 48 hours
Time frame: In the first 48 hours
Time of the first ambulation
Time from robotic assisted urological surgery to the first ambulation
Time frame: Time of the first ambulation during hospitalization
Date and time of resumption of transit
number of days between robotic assisted urological surgery and resumption of transit
Time frame: Date and time of resumption of transit
Consumption of morphine
Consumption of morphine (or equivalent (see morphine equivalent table)) in mg 48 hours after surgery
Time frame: During the 48 hours after surgery
Duration of surgery
Duration of surgery: time between the begining of the robotic assisted urological surgery and the end of surgery.
Time frame: Duration of surgery
Operator experience for the robotic assisted urological surgery
Operator experience for the robotic assisted urological surgery, classified in 3 ranges: less than 5 years; between 5 and 10 years; more than 10 years
Time frame: Operator experience is the number of years from the first robotic assisted urological surgery performed by the operator until the surgery of the patient included in this study.
Complications
Complications according to the Dindo and Clavien classification
Time frame: Period is defined from the day of robotic assisted urological surgery until the end of hospitalisation
Length of stay
Length of stay at hospital (number of days)
Time frame: From the first day of hospitalization to the last day of hospitalization
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Beaumont, France
Clinique Saint Vincent
Besançon, France
CH de Bourg en Bresse
Bourg-en-Bresse, France
Centre Hospitalier Dubois - Brive la Gaillarde
Brive-la-Gaillarde, France
CH de Dax
Dax, France
...and 36 more locations