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Techniques in Coloproctology

, Volume 18, Issue 12, pp 1177–1178 | Cite as

Atraumatic O-ring wound retractor reduces postoperative pain

  • V. Lohsiriwat
  • D. Lohsiriwat
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Introduction

Enhanced recovery program (ERP) is an evidence-based multidisciplinary approach to optimize the recovery of surgical patients [1]. With ERP, patients have fewer complications, a quicker recovery, and a shorter hospital stay. Several studies have demonstrated that the use of laparoscopic surgery is one of the main reasons for better outcomes following colorectal surgery within ERP. However, in daily practice, a majority of patients with colorectal cancer still undergo open surgery [2], and postoperative pain remains a challenging problem [3].

Atraumatic O-ring wound retractor (Alexis ®, Applied Medical, USA) is a modern self-retaining wound retractor which provides 360° circumferential retraction (Fig.  1). Since this instrument has a unique design, it potentially causes less tissue damage to the laparotomy wound, thus reducing pain. We herein report some advantages of the atraumatic O-ring wound retractor over the conventional Balfour self-retaining retractor regarding...

Keywords

Postoperative Pain Opioid Analgesia Colorectal Adenocarcinoma Gastrointestinal Function Postoperative Stay 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

References

  1. 1.
    Lohsiriwat V (2014) Impact of enhanced recovery program on colorectal cancer surgery. Asian Pac J Cancer Prev 15:3825–3828PubMedCrossRefGoogle Scholar
  2. 2.
    Thompson BS, Coory MD, Lumley JW (2011) National trends in the uptake of laparoscopic resection for colorectal cancer, 2000–2008. Med J Aust 194:443–447PubMedGoogle Scholar
  3. 3.
    White PF, Kehlet H (2010) Improving postoperative pain management: what are the unresolved issues? Anesthesiology 112:220–225PubMedCrossRefGoogle Scholar
  4. 4.
    Lohsiriwat V (2014) The influence of preoperative nutritional status on the outcomes of an enhanced recovery after surgery (ERAS) programme for colorectal cancer surgery. Tech Coloproctol. doi: 10.1007/s10151-014-1210-4 Google Scholar
  5. 5.
    Lohsiriwat V (2014) Enhanced recovery after surgery vs conventional care in emergency colorectal surgery. World J Gastroenterol 20:13950–13955Google Scholar

Copyright information

© Springer-Verlag Italia Srl 2014

Authors and Affiliations

  1. 1.Colorectal Surgery Unit, Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand

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