2001
DOI: 10.1093/bja/87.1.88
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Chronic pain after surgery

Abstract: The possibility that the pain is continuing from a preexisting problem must be explored and exclusion attempted. (There is an obvious grey area here in that surgery may simply exacerbate a pre-existent condition, but attributing escalating pain to the surgery is clearly not

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Cited by 599 publications
(340 citation statements)
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References 57 publications
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“…75 There is considerable variation in the reported prevalence of chronic post-surgical pain, but it is clear that somewhere between 10% and 50% of patients experience the problem after different forms of surgery, including breast surgery, vasectomy, hernia repair and cardiac surgery. 76 Perioperative medical care and rehabilitation…”
Section: Acute Perioperative Painmentioning
confidence: 99%
“…75 There is considerable variation in the reported prevalence of chronic post-surgical pain, but it is clear that somewhere between 10% and 50% of patients experience the problem after different forms of surgery, including breast surgery, vasectomy, hernia repair and cardiac surgery. 76 Perioperative medical care and rehabilitation…”
Section: Acute Perioperative Painmentioning
confidence: 99%
“…Table 3.1 shows the incidence of reported chronic post-surgical pain for some surgical procedures. Source: Adapted from Perkins and Kehlet (2000), Macrae (2001) and Castillo et al (2006).…”
Section: The Potential Role Of Ketamine In Chronic Post-surgical Painmentioning
confidence: 99%
“…There are some common risk factors for developing chronic post-surgical pain (Macrae 2001) and these are:…”
Section: The Potential Role Of Ketamine In Chronic Post-surgical Painmentioning
confidence: 99%
“…Data are lacking regarding the specific type(s) of nerve damage that may be associated with an increased incidence of chronic pain, but it is interesting that S. Weir Mitchell [14] noted over 100 years ago that nerve damage from contusion or incomplete transection was more likely to result in long-term pain (in particular, causalgia) than nerve transection. Preliminary observations suggest that preserving the intercostal brachial nerve during mastectomy may decrease risk of persistent pain [4,15]. Several newer thora cotomy techniques may produce less nerve injury, and early results suggest better pain outcomes.…”
Section: Surgical Factorsmentioning
confidence: 99%