Treatment of severe bilateral nerve pain after Pfannenstiel incision

Tosun, Kadir; Schäfer, Georg; Leonhartsberger, Nicolai; Herwig, Ralf; Pinggera, Germar-Michael; Bartsch, Georg; Rehder, Peter

doi:10.1016/j.urology.2005.09.053

Cited by 15 publications

(6 citation statements)

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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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“…All 3 patients experienced significant pain relief, improved quality of life, and a cessation of narcotic use. Those patients who fail conservative modalities and interventional pain procedures may benefit from surgical management 152,153 . A recent study by Loos et al.…”

Section: Interpretation Differential Diagnosis and Management Guidementioning

confidence: 99%

“…Those patients who fail conservative modalities and interventional pain procedures may benefit from surgical management. 152 iliohypogastric or ilioinguinal nerve neurectomy is a safe and effective procedure. 154…”

Section: Pelvic Pain Originating From the Neurologic Systemmentioning

confidence: 99%

Chronic Female Pelvic Pain—Part 2: Differential Diagnosis and Management

et al. 2011

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Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.

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“…They are more time consuming and sometimes more hemorrhagic. Also, abdominal nerves can sometimes be cut accidentally and this may cause neuroma formation in the abdominal wall and induce nerve pain syndrome 3,8 . Today, new laparoscopic surgical techniques have been described for the surgical treatment of cervical carcinoma in order to reduce the morbidity of laparatomic operations.…”

Section: Discussionmentioning

confidence: 99%