Main Article Content
Objective: The present study aims to investigate the impact of preoperative pain predictions on postoperative pain evaluation in patients who underwent cholecystectomy surgery. Pain is a frequently reported complaint following cholecystectomy, and understanding the factors that contribute to pain perception can help improve patient outcomes. Therefore, the study seeks to identify any potential preoperative predictors of pain that may affect postoperative pain evaluation.
Materials and Method: A literature review was conducted between 2012 and 2022 using various combinations of keywords such as "postoperative pain," "postoperative pain management," "cholecystectomy," and "preoperative pain prediction." The inclusion criteria for the study were articles published in peer-reviewed national or international journals in Turkish or English that examined preoperative pain predictors for patients who experienced severe postoperative pain.
Results: In the meta-analysis study, nine databases were searched, resulting in 7151 articles. However, only three full-text articles met the inclusion criteria and were included in the analysis. The combined results of these studies showed that the preoperative prediction rate of postoperative pain was 32%, the rate of postoperative pain without any symptoms in the preoperative period was 33%, and the preoperative prediction rate of post-laparoscopic pain was 38%. It was found that the rate of pain prediction after classical surgery was 15%, while the rate of pain prediction for surgeries lasting less than 30 minutes was 37%, and for surgeries lasting more than 30 minutes, it was 38%.
Conclusion: The preoperative prediction of the factors causing pain is an important component of effective pain management and enhancement of patient care quality.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Akpolat R, Şişman H, Alptekin D, Gökçe E, Gezer D, Arslan S. Evaluation of approaches to pain after surgery. Cukurova Med J 2021;46(2):670-676.
Williams G, Howard RF, Liossi C. Persistent postsurgical pain in children and young people: prediction, prevention, and management. Pain Reports. 2017;2(5).1-6.
Gerbershagen HJ, Pogatzki-Zahn E, Aduckathil S, et al. Procedure-specific risk factor analysis for the development of severe postoperative pain. Anesthesiology. 2014; 120(5), 1237-1245.
Van Dijk JF, Zaslansky R, Van Boekel RL, et al. Postoperative Pain and Age: A Retrospective Cohort Association Study. Anesthesiology. 2021;135(6), 1104-1119.
Sangesland A, Støren C, Vaegter H. B. Are preoperative experimental pain assessments correlated with clinical pain outcomes after surgery? A systematic review. Scandinavian journal of pain. 2017; 15(1), 44-52.
Acar K, Aygin D. Pain and Nursing Care After Laparoscopic Surgery. OTSBD. 2016; 1(2), 17-22.
Kasahun HG, Agizew TB, Temesgen MM, Ashagrie HE. Assessment of acute postoperative pain management and associated factors after elective surgery among adult surgical patients: a prospective cross-sectional study. IJS Short Reports. 2022;7(1), e37, 1-6.
Prevalence of pain in adult patients. Annals of Clinical and Analytical Medicine [Internet]. 2021;12(Suppl_03). Available from: http://dx.doi.org/10.4328/acam.20513
Yaprak M, Doğru V, Mesci A, Akbaş M. Pain Management After Laparoscopic Cholecystectomy. Akd Med J / 2019; 5(2):336-341.
Karaaslan O, Kantekin CU, Hacimusalar Y, Talih G. The effect of health anxiety on postoperative analgesia requirement and anesthesia recovery in patients undergoing laparoscopic cholecystectomy. Fam Pract Palliat Care. 2019 Apr;4(1):7-10
Kraychete D. C, Sakata RK, Lannes L. D. O. C, Bandeira ID, Sadatsune EJ. Postoperative persistent chronic pain: what do we know about prevention, risk factors, and treatment☆. Rev Bras Anestesiol. 2016;66(5):505---512
Blichfeldt-Eckhardt MR, Ørding H, Andersen C, Licht PB, Toft P. Early visceral pain predicts chronic pain after laparoscopic cholecystectomy. PAIN. 155 (2014) 2400–2407.
Theodoraki K, Staikou C, Fassoulaki, A. Postoperative pain after major abdominal surgery: is it gender related? An observational prospective study. Pain Practice. 2014; 14(7), 613–619.
Varallo G, Giusti EM, Manna C, et al. Sleep disturbances and sleep disorders as risk factors for chronic postsurgical pain: A systematic review and meta-analysis. Sleep Medicine Reviews 63 (2022) 101630, 1-16.
Thorpe AM, O’Sullivan PB, Mitchell T, et al. Are psychologic factors associated with shoulder scores after rotator cuff surgery? Clin Orthop Relat Res (2018) 476:2062-2073.
Eti Aslan F, Şahin SK, Secginli S, Bülbüloğlu S. Patient satisfaction with nursing practices about postoperative pain management: A systematic review. Agrı. 2018; 30(3), 105-115.
Zhang J, Lu Q, Ren YF, et al. Factors relevant to persistent upper abdominal pain after cholecystectomy. Hpb. 2017;19(7), 629-637.
Salazar-Parra M, Guzman-Ramirez BG, Pintor-Belmontes KJ, et al. Gender differences in postoperative pain, nausea and vomiting after elective laparoscopic cholecystectomy. World J Surg. 2020; 44(12), 4070-4076.
19.Perkins FM, Franklin JS. Prediction and Prevention of Persistent Post-Surgical Pain. In Practical Management of Pain. 2014; 298-303.
Dadgostar A, Bigder M, Punjani N, Lozo S, Chahal V, Kavanagh A. Does preoperative depression predict postoperative surgical pain: A systematic review. International Journal of Surgery. 2017; 41, 162-173.
Wang Y, Liu Z, Chen S, et al. Pre-surgery beliefs about pain and surgery as predictors of acute and chronic post-surgical pain: a prospective cohort study. International Journal of Surgery. 2018; 52, 50-55.
Blichfeldt-Eckhardt MR. From acute to chronic postsurgical pain: the significance of the acute pain response. Dan Med J. 2018;65(3), B5326.
Bisgaard T, Klarskov B, Rosenberg J, Kehlet H. Characteristics and prediction of early pain after laparoscopic cholecystectomy. Pain 90 (2001) 261-269.
Stiff G, Rhodes M, Kelly A, Telford K, Armstrong CP, Rees BI. Long‐term pain: Less common after laparoscopic than open cholecystectomy. British journal of surgery. 1994;81(9), 1368-1370.