EDITORIAL Pain Management in Patients Undergoing Radical Pelvic Exenteration Surgery: Opioid Stewardship and the Development of Evidence-Based Alternatives Sandra L. Kopp, M.D. current practices and shortcomings of perioperative pain William L. Lanier, M.D. management in patients undergoing PE surgery. They Rochester, Minnesota have also highlighted a need for future clinical research to improve pain management in these patients. In attempting to understand the clinical implications n the current issue of Diseases of the Colon & Rectum, of the Lim et al results, it is important to consider the ori- Lim et al report on preoperative, perioperative, and gins of pain, the methods that we use to quantify the pain, Iimmediate postoperative (1–7 d after surgery) pain and and common and alternative methods for treating it. This pain management in 99 patients who underwent radical pain can be perceived as 1) acute, functional pain; 2) path- pelvic exenteration (PE) surgery at a quaternary referral ological, nonfunctional pain; or 3) a mixture of the two. center in Sydney, New South Wales, Australia. Data were Acute, functional pain in the Lim et al report likely origi- prospectively collected in an established clinical database nated from disruption of soft tissues and bone, mechani-
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Mar 1, 2018
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