<p>No Differences in the Prevalence and Intensity of Chronic Postsurgical Pain Between Laparoscopic Hysterectomy and Abdominal Hysterectomy: A Prospective Study</p>

Abstract

Objective: To compare the prevalence and characteristics of chronic postsurgical pain (CPSP) between laparoscopic hysterectomy (LH) and abdominal hysterectomy (AH) groups 3, 6, and 12 months after surgery, and to assess the impact of pain on the activities of daily living (ADL) of patients. Methods: The demographic characteristics, intraoperative clinical factors, and postoperative pain score were collected prospectively in patients scheduled for elective LH or AH for benign disease at our institution from July 2014 to June 2015. Patients were interviewed by telephone and followed up for pain assessment 3, 6, and 12 months after surgery. The prevalence, intensity, and specific locations of pain, as well as analgesic administration and impact on the ADL, were included in the questionnaire. Results: The results from 406 patients (225 patients in the LH group and 181 patients in the AH group) were obtained. Three months after surgery, the prevalence of CPSP was 20.9% in the LH group and 20.4% in the AH group. At 6 months, the prevalence of pain declined to 11.6% in the LH group and 9.4% in the AH group. At 12 months after surgery, only 13 (5.8%) patients in the LH group and 11 (6.1%) patients in the AH group complained about persistent pain. The prevalence of CPSP, as well as the average numerical rating scale pain scores at rest and during movement, during 12 months after surgery were not significantly different between the groups. CPSP after hysterectomy exhibited a negative impact on the ADL. Conclusion: The prevalence and intensity of CPSP were not significantly different between patients undergoing LH or AH within 12 months after surgery. A tendency towards a reduction in chronic pain over time was documented. Chronic post-hysterectomy pain exhibited a negative impact on the ADL.

Prevalence and predictors of chronic postsurgical pain after colorectal surgery: A prospective study

“…However, a minimally invasive technique may not reduce CPSP incidence after colorectal surgery, as observed in our study. Similarly, previous studies have also reported no decrease in the prevalence of CPSP after other surgeries, such as hysterectomy [9], nephrectomy [42] or thoracotomy [43], with the use of laparoscopic or video‐assisted surgical approaches.…”

“…Chronic postsurgical pain (CPSP) is defined by the International Association for the Study of Pain (IASP) as the pain that develops after surgery and persists for at least 3 months [1]. CPSP is increasingly being recognized as a frequent complication after diverse surgical procedures, including thoracotomy (incidence of CPSP 25%-60%) [2,3], mastectomy (20%-50%) [4,5], herniotomy (5%-12%) [6,7], hysterectomy (5%-32%) [8,9], caesarean section (6%-18%) [10,11] and amputation (50%-80%) [12,13].…”

“…CPSP has become a prominent medical and socio-economic issue as it delays recovery, decreases patient satisfaction, impairs patient's quality of life and adds burden to healthcare utilization [14,15]. Even low intensity of residual pain is associated with reduced physical and social functioning [9,11]. Therefore, investigating the incidence of CPSP after each type of surgery and identifying high-risk patients is crucial for developing suitable prevention strategies to prevent CPSP.…”

<p>Effects of Adding a Combined Infraorbital and Infratrochlear Nerve Block to General Anaesthesia in Septorhinoplasty</p>

“…Postoperative pain was evaluated using a NRS ranging from 0 (no pain) to 10 (maximum imaginable pain). 6 The highest NRS scores of the patients were recorded in 0-2 hours, 2-8 hours and 8-24 hours after reaching PACU (0 hours). In the case of postoperative pain with an NRS score of ≥5, 50 mg IV dexketoprofen (Deksalgin; Nobel Ilac, Istanbul, Turkey) was administered.…”

“…3 Severe pain may occur in the postoperative period of septorhinoplasty due to soft tissue injury and osteotomies. 5 On a numerical rating scale (NRS) 6 from 0 to 10, a pain score of >3 in 45% of patients and a pain score of >6 in almost 30% of patients were reported after a septorhinoplasty operation. 7 In their study examining the postoperative pain of patients undergoing rhinoplasty operation, Demir et al accepted patients with an NRS score of ≥5 as patients with postoperative pain and applied analgesics to them.…”