title: Evaluation of postoperative pain at the stoma site in patients who underwent a single-port Hartmann's procedure.
abstract: BACKGROUND
  The aims of this retrospective study were to evaluate postoperative pain at the stoma site in patients who underwent a single-port Hartmann's procedure (SPH) and to compare the SPH to the multiport Hartmann's procedure (MPH) in terms of postoperative pain.
  
  
  METHODS
  We studied 17 consecutive patients who underwent SPH or MPH for left colon cancer. Postoperative pain was evaluated from postoperative day 1 to 7 with the Numeric Rating Scale.
  
  
  RESULTS
  The postoperative pain score at the stoma site was highest on postoperative day 2 (Numeric Rating Scale score = 3.6). The duration of narcotics use was significantly shorter in the SPH group than in the MPH group (2.1 vs 3.3 days; P = 0.012). The rescue analgesia was administered fewer times in the SPH group than in the MPH group (1.3 vs 4.6; P = 0.012), and the duration of rescue analgesia use was shorter (1.1 vs 3.7 days; P = 0.013). The worst Numeric Rating Scale score in the SPH group was significantly lower than that in the MPH group on postoperative day 3 (1.9 vs 4.1; P = 0.031).
  
  
  CONCLUSIONS
  Postoperative pain at the stoma site was highest on postoperative day 2. The SPH was associated with less postoperative pain than the MPH.
authors.affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Tei
authors.affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Wakasugi
authors.affiliation: Department of Surgery, Osaka Police Hospital, Osaka, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Akamatsu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000700:Analgesics
keywords: Postoperative pain; single-incision laparoscopic surgery; single-port surgery