118 POSTSURGICAL PAIN - EPIDEMIOLOGY

Epidemiology of Chronic Postsurgical Pain

Chronic postsurgical pain has a global incidence of 30 %, while surgery is the second commonest cause of neuropathic pain. The operations most commonly implicated in chronic postsurgical pain are inguinal hernia repair, breast surgery, amputation, cholecystectomy and thoracotomy. Possible risk factors are the existence of preoperative pain, psychological characteristics of the patient, certain ...

Persistent postsurgical and posttrauma pain.

IT IS ESTIMATED that as many as 50% of patients who have undergone surgery experience persistent pain long after the expected postoperative recovery period, and in 2% to 10% of these individuals, the intensity of the pain is severe (see Table 1 for incidence associated with various surgical procedures). This type of pain is common in chronic pain centers, where as many as 20% of individuals see...

Epidemiology and Prevention of Postsurgical Adhesions Revisited.

OBJECTIVE To provide a comprehensive review of recent epidemiologic data on the burden of adhesion-related complications and adhesion prevention. Second, we elaborate on economic considerations for the application of antiadhesion barriers. BACKGROUND Because the landmark SCAR studies elucidated the impact of adhesions on readmissions for long-term complications of abdominal surgery, adhesions...

Persistent postsurgical pain: risk factors and prevention.

Acute postoperative pain is followed by persistent pain in 10-50% of individuals after common operations, such as groin hernia repair, breast and thoracic surgery, leg amputation, and coronary artery bypass surgery. Since chronic pain can be severe in about 2-10% of these patients, persistent postsurgical pain represents a major, largely unrecognised clinical problem. Iatrogenic neuropathic pai...

Chronic Postsurgical Pain: Definition, Impact, and Prevention