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Immediate postoperative pain does not predict pain at home after ambulatory single-port sleeve gastrectomy

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Abstract

Purpose

Single-port sleeve gastrectomy (SPSG) is increasingly performed in an ambulatory setting. Pain intensity when returning home remains a problem. The challenge is to be able to predict the evolution of postoperative pain (POP) at home by using parameters collected during the hospital stay. This study aimed to investigate whether immediate POP in the postanesthesia care unit (PACU) can predict pain intensity 24 h after surgery.

Methods

Single-center retrospective study in patients with obesity who underwent ambulatory SPSG. POP and opiate requirements during PACU stay were registered. Patients were followed up at home during the first 4 postoperative days. The primary outcome was the correlation between opiate requirements in the PACU and Numerical Rating Scale (NRS) at home 24 h after surgery. Secondly, logistic regression was used to identify risk factors for moderate/intense pain 24 h after surgery.

Results

Ninety-four patients were included during the study period. Twenty-two patients had NRS > 3/10 24 h after surgery. No correlation was found between the total dose of morphine in the PACU and pain intensity 24 h after surgery (r2 =  − 0.07; P = 0.49). No predictive factor for moderate/intense pain 24 h after surgery was found.

Conclusion

No correlation was found between opiate requirements in the PACU and pain at home 24 h after SPSG. Based on these results, it does not seem possible to predict intense pain at home from pain profile and morphine requirement during the immediate postoperative period.

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Acknowledgements

The authors want to thank Mr Paul Bennett (SAS Fluentsys) for English corrections of the manuscript.

Author information

Authors and Affiliations

  1. Department of Anesthesia, Institut Mutualiste Montsouris, 42 Bd Jourdan, 75014, Paris, France

    Paola Mascitti, Marc Beaussier & Didier Sciard

  2. Unit of Bariatric Surgery and the Ambulatory Surgery Unit, Institut Mutualiste Montsouris, Paris, France

    Paola Mascitti, Marc Beaussier, Didier Sciard & Guillaume Pourcher

  3. Obesity Center, Department of Digestive, Oncologic and Metabolic Surgery, Institut Mutualiste Montsouris, Paris, France

    Marie-Christine Boutron, Abdessalem Ghedira & Guillaume Pourcher

  4. Centre de Recherche en Epidémiologie Et Santé Des Population (CESP), INSERM, Paris-Saclay University, Paris, France

    Marie-Christine Boutron & Guillaume Pourcher

Authors
  1. Paola Mascitti
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  2. Marc Beaussier
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  3. Didier Sciard
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  4. Marie-Christine Boutron
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  5. Abdessalem Ghedira
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  6. Guillaume Pourcher
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Contributions

Study conception and design: PM, MB, GP. Acquisition of data: PM, GP, AG. Analysis and interpretation of data: PM, MB, M-CB. Drafting of manuscript: MB, PM, GP, DS. Critical revision of manuscript: DS, M-CB.

Corresponding author

Correspondence to Marc Beaussier.

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Ethical approval

The study has been approved by the appropriate Institutional Review Board approval (CERAR n° IRB 00010254–2020-021) obtained on 20 March 2021.

Conflict of interest

The authors declare no competing interests.

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Mascitti, P., Beaussier, M., Sciard, D. et al. Immediate postoperative pain does not predict pain at home after ambulatory single-port sleeve gastrectomy. Langenbecks Arch Surg 407, 2739–2746 (2022). https://doi.org/10.1007/s00423-022-02560-2

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  • DOI: https://doi.org/10.1007/s00423-022-02560-2

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