caa a22 4500 606207325 CHVBK 20210128101016.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10353-015-0343-7 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0343-7 Pain perception and short-term outcomes in totally laparoscopic colonic surgery with two different fast track programs [Elektronische Daten] [G. Mari, P. De Martini, D. Maggioni, A. Costanzi, G. Ferrari, S. De Carli, R. Pugliese] Aim of the study: to evaluated pain perception and return to normal daily activities in two groups of patients undergoing elective totally laparoscopic colonic surgery according to two different analgesic protocols within Fast Track programs. Method: we compared two groups of patients prospectively evaluated in terms of post-operative painperception and short term outcomes undergoing totally laparoscopic elective colonic surgery among fasttrack programs. 46 patients (43 completed the study) (Group 1) received analgesia with spinal injection 30 min before surgery of Morphine 0,2 - 0,3 mg , morphine PCA post operatively, Paracetamol 1 gr if needed every 8 h. 43 patients (40 completed the study) (Group 2) received analgesia with Paracetamol 1 gr every 6 h , ketorolac every 12 h, Lidocaine wound infiltration. Result: Patients in G2 passed flatus and stool significantly before those in G1 (p<0,05) and were discharged significantly earlier than those in G1 (p<0,05). Return to normal daily activities was similar in the two groups. Pain perception in the immediate post-operative period was significantly higher in patients in G2 (p<0,05). Conclusion: Morphine free analgesia significantly improve bowel function recovery and hospitalization. Pain perception in the immediate post-operative needs to be optimized. Springer-Verlag Wien, 2015 Fast track nationallicence Enhanced recovery program nationallicence Laparoscopy nationallicence Colorectal surgery nationallicence Analgesia nationallicence Morphine nationallicence Mari G. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut De Martini P. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut Maggioni D. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut Costanzi A. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut Ferrari G. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut De Carli S. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut Pugliese R. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut European Surgery Springer Vienna 47/5(2015-10-01), 258-261 1682-8631 47:5<258 2015 47 10353 https://doi.org/10.1007/s10353-015-0343-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0343-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mari G. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut NATIONALLICENCE 700 1- De Martini P. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut NATIONALLICENCE 700 1- Maggioni D. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut NATIONALLICENCE 700 1- Costanzi A. General Surgery Department, Desio Hospital, via Mazzini 1 Desio, 20832, Desio, Italy aut NATIONALLICENCE 700 1- Ferrari G. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut NATIONALLICENCE 700 1- De Carli S. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut NATIONALLICENCE 700 1- Pugliese R. General Surgery and Laparoscopy Department, Niguarda Ca' Granda Hospital, Milan, Italy aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/5(2015-10-01), 258-261 1682-8631 47:5<258 2015 47 10353