Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study

BACKGROUND: Open hemorrhoidectomy is one of the standard procedures for grade IV hemorrhoids. Postsurgical pain is a common problem for patients. We aim to prospectively evaluate potential factors affecting postoperative pain among hemorrhoidectomy patients. METHODS: An observational study was condu...

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Autores principales: Wang, Geng, Wu, Yuanjue, Cao, Yang, Zhou, Rui, Tao, Kaixiong, Wang, Linfang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852767/
https://www.ncbi.nlm.nih.gov/pubmed/36684369
http://dx.doi.org/10.3389/fsurg.2022.1024237
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author Wang, Geng
Wu, Yuanjue
Cao, Yang
Zhou, Rui
Tao, Kaixiong
Wang, Linfang
author_facet Wang, Geng
Wu, Yuanjue
Cao, Yang
Zhou, Rui
Tao, Kaixiong
Wang, Linfang
author_sort Wang, Geng
collection PubMed
description BACKGROUND: Open hemorrhoidectomy is one of the standard procedures for grade IV hemorrhoids. Postsurgical pain is a common problem for patients. We aim to prospectively evaluate potential factors affecting postoperative pain among hemorrhoidectomy patients. METHODS: An observational study was conducted on 360 patients who had undergone Milligan-Morgan open hemorrhoidectomy. Details of the surgery and baseline information were recorded. Preoperative anxiety and depression were analyzed via the self-rating anxiety scale 20 (SAS-20) and self-rating depression scales 20 (SDS-20), respectively. Postoperative pain score was performed daily after surgery until the patient was discharged. The numerical pain score was evaluated by the visual analogue scale (VAS). The association between preoperative psychological states (anxiety or depression) and postoperative pain was analyzed using a generalized additive mixed model. RESULTS: A total of 340 patients eventually provided complete data and were included in our study. The average age was 43.3 ± 14.4 years, and 62.1% of patients were women. In total, 14.9% of patients had presurgical anxiety and 47.1% had presurgical depression. Postsurgical pain reached a peak point 1–2 days after surgery and went down to a very low level around 4–5 days after surgery. More excision of hemorrhoids could lead to more pain experience after surgery. Presurgical depression was associated with postsurgical pain. Patients who had presurgical depression had higher pain scores after surgery (2.3 ± 1.9 vs. 3.3 ± 1.9, p = 0.025). CONCLUSION: Preoperative depression and the amount of excisional hemorrhoids are positively related to postsurgical pain.
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spelling pubmed-98527672023-01-21 Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study Wang, Geng Wu, Yuanjue Cao, Yang Zhou, Rui Tao, Kaixiong Wang, Linfang Front Surg Surgery BACKGROUND: Open hemorrhoidectomy is one of the standard procedures for grade IV hemorrhoids. Postsurgical pain is a common problem for patients. We aim to prospectively evaluate potential factors affecting postoperative pain among hemorrhoidectomy patients. METHODS: An observational study was conducted on 360 patients who had undergone Milligan-Morgan open hemorrhoidectomy. Details of the surgery and baseline information were recorded. Preoperative anxiety and depression were analyzed via the self-rating anxiety scale 20 (SAS-20) and self-rating depression scales 20 (SDS-20), respectively. Postoperative pain score was performed daily after surgery until the patient was discharged. The numerical pain score was evaluated by the visual analogue scale (VAS). The association between preoperative psychological states (anxiety or depression) and postoperative pain was analyzed using a generalized additive mixed model. RESULTS: A total of 340 patients eventually provided complete data and were included in our study. The average age was 43.3 ± 14.4 years, and 62.1% of patients were women. In total, 14.9% of patients had presurgical anxiety and 47.1% had presurgical depression. Postsurgical pain reached a peak point 1–2 days after surgery and went down to a very low level around 4–5 days after surgery. More excision of hemorrhoids could lead to more pain experience after surgery. Presurgical depression was associated with postsurgical pain. Patients who had presurgical depression had higher pain scores after surgery (2.3 ± 1.9 vs. 3.3 ± 1.9, p = 0.025). CONCLUSION: Preoperative depression and the amount of excisional hemorrhoids are positively related to postsurgical pain. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852767/ /pubmed/36684369 http://dx.doi.org/10.3389/fsurg.2022.1024237 Text en © 2023 Wang, Wu, Cao, Zhou, Tao and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Wang, Geng
Wu, Yuanjue
Cao, Yang
Zhou, Rui
Tao, Kaixiong
Wang, Linfang
Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title_full Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title_fullStr Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title_full_unstemmed Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title_short Psychological states could affect postsurgical pain after hemorrhoidectomy: A prospective cohort study
title_sort psychological states could affect postsurgical pain after hemorrhoidectomy: a prospective cohort study
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852767/
https://www.ncbi.nlm.nih.gov/pubmed/36684369
http://dx.doi.org/10.3389/fsurg.2022.1024237
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