The Pfannenstiel Incision as a Source of Chronic Pain

Loos, Maarten; Scheltinga, Marc R.; Mulders, Léon G.M.; Roumen, R. M. H.

doi:10.1097/01.aoa.0000337924.39491.72

Cited by 17 publications

(31 citation statements)

References 2 publications

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“…It would also have been important to measure the length of incision in women who had an open abdominal hysterectomy, to clarify and understand this issue as a potential risk factor. 47,55,69,79,85 The lack of a physical examination also prevented the administration of the latter 3 items of DN-4 5 questionnaire, but the use of the self-reported 7-item questionnaire is acknowledged as a valid procedure. 6 Psychological measures, with the exception of anxiety and depression at T3, were assessed prospectively only before the scheduled hysterectomy.…”

Section: Limitations Of the Studymentioning

confidence: 99%

Risk Factors for Persistent Postsurgical Pain in Women Undergoing Hysterectomy Due to Benign Causes: A Prospective Predictive Study

Pinto

McIntyre

Nogueira‐Silva

et al. 2012

The Journal of Pain

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Persistent postsurgical pain (PPSP) is a major clinical problem with significant individual, social, and healthcare costs. The aim of this study was to examine the role of demographic, clinical, and psychological risk factors in the development of PPSP after hysterectomy due to benign disorders. In a prospective study, a consecutive sample of 186 women was assessed 24 hours before surgery (T1), 48 hours after surgery (T2), and 4 months after surgery (T3). Regression analyses were performed to identify predictors of PPSP. Four months after hysterectomy, 93 (50%) participants reported experiencing pain (numerical rating scale >0). Age, pain due to other causes, and type of hysterectomy emerged as significant predictive factors. Baseline presurgical psychological predictors identified were anxiety, emotional illness representation of the condition leading to surgery, and pain catastrophizing. Among the identified psychological predictors, emotional illness representation emerged as the strongest. Acute postsurgical pain frequency and postsurgical anxiety also revealed a predictive role in PPSP development. These results increase the knowledge on PPSP predictors and point healthcare professionals toward specific intervention targets such as anxiety (presurgical and postsurgical), pain catastrophizing, emotional illness representations, and acute pain control after surgery.Perspective: This study found that presurgical anxiety, emotional illness representations, and pain catastrophizing are risk factors for PPSP 4 months after hysterectomy, over and above age and clinical variables. These findings improve knowledge on PPSP and highlight potential intervention targets for healthcare professionals.

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Section: Limitations Of the Studymentioning

confidence: 99%

Risk Factors for Persistent Postsurgical Pain in Women Undergoing Hysterectomy Due to Benign Causes: A Prospective Predictive Study

Pinto

McIntyre

Nogueira‐Silva

et al. 2012

The Journal of Pain

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“…Cuando existe lesión directa de nervios, o incluso estiramiento o compresión, el dolor neuropático también puede estar presente (2) . A pesar de que la ocurrencia del dolor postoperatorio es un evento fisiológico, el alivio inadecuado de esa experiencia puede significar mayores riesgos a la salud de las personas.…”

Section: Introductionunclassified

Dor pós-operatória em mulheres submetidas à cesariana

Borges

Silva

Pedroso

et al. 2017

eglobal

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Nº 48 Octubre 2017Página 354 ORIGINALES Dolor postoperatorio en mujeres sometidas a cesáreaDor pós-operatória em mulheres submetidas à cesariana Postoperative pain in women undergoing caesarean section Resultados: La incidencia de dolor fue del 92,7% (IC 95%: 90,9 -94,2) y las puntuaciones de intensidad media en el momento de peor dolor, igual a 6,6 (dp=2,2) . Los descriptores más frecuentes escogidos fueron "dolorida" (91,6%), "dolorida a la palpación" (70,0%) y "palpitante" (56,1%). Conclusiones: El dolor postoperatorio de alta intensidad es una realidad en este grupo, señalando la importancia de la evaluación del dolor para la ejecución de las acciones curativas y preventivas para reducir las pérdidas en la recuperación de las mujeres Palabras clave: Dolor; Dolor Posoperatorio; Cesárea. RESUMO:Objetivo: Estimar a incidência, intensidade e qualidade da dor pós-operatória em mulheres submetidas à cesariana.

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“…Studies attempting to characterize the type of pain persisting after cesarean delivery have identified that it is mostly neuropathic [74] as is largely described for persistent post-surgical pain in the general population [75,76]. In addition, the presence of pre-operative scar hyperalgesia in women undergoing a repeat cesarean delivery predicts acute post-operative pain [77 • ] and may be associated with persistent pain.…”

Section: Chronic Pain After Cesarean Deliverymentioning

confidence: 99%

The Impact of Genetics and Other Factors on Intra- and Post-partum Pain

Landau

Ortner

Vuilleumier

2013

Curr Anesthesiol Rep

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In an attempt to provide some explanation for the observed differences in pain perception and analgesic requirements during labor and delivery between women, the idea that genetic variability is an important factor has emerged over the past decade. Bearing in mind the challenges posed when evaluating pain during childbirth as a phenotype, recent findings in the field of genetics and obstetric anesthesia are presented in this review; in particular those related to differences in labor analgesia requirements between women, the response to opioids after cesarean delivery, as well as theories on why post-cesarean pain may be different from other types of post-surgical pain.

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The Pfannenstiel Incision as a Source of Chronic Pain

Cited by 17 publications

References 2 publications

Risk Factors for Persistent Postsurgical Pain in Women Undergoing Hysterectomy Due to Benign Causes: A Prospective Predictive Study

Risk Factors for Persistent Postsurgical Pain in Women Undergoing Hysterectomy Due to Benign Causes: A Prospective Predictive Study

Dor pós-operatória em mulheres submetidas à cesariana

The Impact of Genetics and Other Factors on Intra- and Post-partum Pain

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