Can Preoperative Electrical Nociceptive Stimulation Predict Acute Pain After Groin Herniotomy?

Pre-operative pain sensitivity: A prediction of post-operative outcome in the obstetric population

“…[3031] Consequently, in electrical stimulation studies in male groin hernia patients, no significant role for electrical pain thresholds was observed. [8] In general, pain threshold has been reported to increase with age, resulting in lower post-operative pain ratings and morphine requirements in the elderly. [32] One would expect the young women in our sample to have lower pain thresholds than the older male participants recruited by Aasvang et al ,[8] who noted a median of 8.…”

“…[234567891011] Electrical pain threshold appears to have superior predictive power, compared with thermal and mechanical assessment. [12] Its potential in estimating the expected opioid drug use, particularly when this is largely controlled by patient in the post-operative period, is definitely worth establishing.…”

Impact of gentamicin-supplemented polyvinylidenfluoride mesh materials on MMP-2 expression and tissue integration in a transgenic mice model

“…Likewise, chronic pain following inguinal herniotomy is reported in approximately 10% of the patients, in particular after mesh repair [33,35]. It is suggested that the inflammatory mesh response is an underlying pathophysiological mechanism for chronic pain after mesh implantation [36]. Biomaterial implantation frequently induces a chronic wound that is characterized by activation of matrix metalloproteinases (MMPs) [26,37].…”

Laparoscopic versus open peritoneal dialysis catheter placement

“…The goal was safe and effective long-term use of the catheter with the avoidance of complications such as peritonitis and bowel perforation found in percutaneous or peritoneoscopic placement [3,4]. Since the 1970s, failure of PDCs occurred up to 70 % of patients within the first year of placement [5][6][7][8][9][10][11][12][13][14][15]. Early pioneers in laparoscopy applied peritoneoscopy as visualization through the percutaneous access site for salvage procedures; over time, laparoscopic salvage techniques for nonfunctioning catheters became more refined, allowing for PDC retrieval, adhesiolysis, catheter tip fixation, as well as omental manipulation, including omentectomy as necessary [5][6][7][8][9][10][11][12][13][14][15].…”

“…Since the 1970s, failure of PDCs occurred up to 70 % of patients within the first year of placement [5][6][7][8][9][10][11][12][13][14][15]. Early pioneers in laparoscopy applied peritoneoscopy as visualization through the percutaneous access site for salvage procedures; over time, laparoscopic salvage techniques for nonfunctioning catheters became more refined, allowing for PDC retrieval, adhesiolysis, catheter tip fixation, as well as omental manipulation, including omentectomy as necessary [5][6][7][8][9][10][11][12][13][14][15]. Initial placement of PDCs laparoscopically was first described in case series in 1990s [16][17][18][19][20][21][22][23].…”