A questionnaire study investigating the prevalence of the neuropathic component of chronic pain after thoracic surgery

Maguire, Moira; Ravenscroft, A.; Beggs, David; Duffy, John P.

doi:10.1016/j.ejcts.2006.02.002

Cited by 202 publications

(160 citation statements)

References 17 publications

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“…In previous studies, postoperative pain was reported between 0.8 and 93 % for thoracoscopic surgeries [2,10,11,13,[17][18][19]. Pain at the time of discharge affected 20 % of the patients, which decreased to 10 % at the tenth day of postoperation in our study.…”

Section: Discussionsupporting

confidence: 53%

Sympathectomy for Palmar Hyperhidrosis

Tülay

2013

Indian J Surg

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Palmar hyperhidrosis is an important situation that may cause emotional and work-related problems. Although local treatment and psychotherapy have been used for palmar hyperhidrosis, the choice of treatment for palmar hyperhidrosis is video-assisted thoracoscopic sympathectomy. Retrospective analysis of 120 bilateral thoracoscopic sympathectomies (60 patients) was done in this study. Earlier, 12 of 60 patients (20 %) had been operated on by other surgeons who used clipping method for palmar hyperhidrosis in different hospitals within 1 year. The procedure was performed under general anesthesia using single-lumen endotracheal tube. Sympathetic chain resection was performed between lower level of the second rib and upper level of the fourth rib. Intercostal blockage at three levels was performed, while thoracoscopic control of the injection sites was done. We observed improvement of symptoms in 95 %, mild compensatory sweating in 20 %, and excessive dryness of hands in 10 % in our patients.

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Section: Discussionsupporting

confidence: 53%

Sympathectomy for Palmar Hyperhidrosis

Tülay

2013

Indian J Surg

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“…The most consistent finding in the literature thus far has been that the presence of current pain (either preoperative or acute postsurgical pain) predicts future pain [4,[9][10][11][12]. Other factors such as younger age [3,14], female gender [9,15], the presence of anxiety [9,16], pain catastrophizing [17], and other psychological variables such as emotional numbing [18] have been shown to predict the development ofpostsurgical pain after a variety of surgical procedures [4]. We must continue efforts to determine which aspects of the perioperative pain experience are predictive of the transition to pain chronicity: qualities specific to the pain itself (e.g.…”

Section: Introductionmentioning

confidence: 54%

“…Studies have reported that female gender [9] and younger age [9,40) predicted intense acute postoperative pain, and nationwide surveys consistently find that the incidence of chronic neuropathic pain is significantly higher in women than men [4143]. Several smaller studies of CPSP have also identified younger age as a risk factor for the transition from acute pain to pain chronicity [14,22]. The sample of patients enrolled in the present study was quite homogeneous with respect to age and gender and neither predicted chronic pain 6 months after total hip arthroplasty [19].…”

Section: Introductionmentioning

confidence: 99%

Acute pain after total hip arthroplasty does not predict the development of chronic postsurgical pain 6 months later

et al. 2010

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“…They found that the incidence of chronic pain 6 to 42 months after thoracotomy was 40% for thoracotomy and 47% for VATS. Likewise, Maguire et al (12) conducted a study of 948 cases of thoracotomy and postoperative chronic pain was observed in 57% of cases within 7-12 months of the surgery, in 36% of cases within 4-5 years of the surgery, and in 21% of cases within 6-7 years of surgery. In our study, we defined the incidence of chronic pain in the 1st month after thoracotomy as 20% for Group C, 15% for Group S, 10% for Group P, and 20% overall.…”

Section: Discussionmentioning

confidence: 99%

The effect of preemptive thoracic epidural analgesia on long-term wound pain following major thoracotomy

Can¹,

Erdem²,

Aydın³

et al. 2013

Turk J Med Sci

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This study was approved by the institutional review board and written informed consent was received from patients. A total of 60 patients with ASA I-II status at preanesthetic examination, who had no concomitant disease and who planned to have elective thoracotomy between April 2009 and June 2010 in the Department of Aim: To evaluate the effects of the performance of preemptive epidural analgesia in major thoracotomies on chronic postthoracotomy pain.Materials and methods: A total of 60 patients with ASA I-II status between the ages of 18 and 75 years who planned to have elective thoracotomy were randomized into 3 groups. In all cases, an epidural catheter was placed at the 6th-7th or 7th-8th thoracic intervals, preoperatively. Patients in the control group (n = 20) did not receive epidural analgesics before and during the operation, and preoperative analgesia was provided by remifentanil infusion. In the incision-sensitized group (n = 20), patients had remifentanil infusion preoperatively and 0.1% levobupivacaine (10-15 mL) was given through the epidural catheter 10 min after the surgical incision. Considering that epidural analgesia reached an adequate level 20 min after the injection, the remifentanil infusion was stopped. In the preemptive analgesia group, patients (n = 20) received 10-15 mL of 0.1% levobupivacaine at the 2nd dermatome superior and inferior to the incision dermatome through the epidural catheter for analgesia before anesthesia induction. The pain levels of the patients were evaluated at postoperative months 1, 3, and 6 using a visual analog pain scale.Results: When the pain of the patients in the chronic period were compared, no statistically significant difference was found among all 3 groups (P > 0.05). Conclusion:We suggest that thoracic preemptive epidural analgesia application before the incision is not superior to intraoperative or postoperative thoracic epidural analgesia in prevention or attenuation of chronic postthoracotomy pain after major thoracotomy operations.

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A questionnaire study investigating the prevalence of the neuropathic component of chronic pain after thoracic surgery

Cited by 202 publications

References 17 publications

Sympathectomy for Palmar Hyperhidrosis

Sympathectomy for Palmar Hyperhidrosis

Acute pain after total hip arthroplasty does not predict the development of chronic postsurgical pain 6 months later

The effect of preemptive thoracic epidural analgesia on long-term wound pain following major thoracotomy

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