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Analgesia and Pain Management01:25

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Chronic postsurgical pain: still a neglected topic?

Igor Kissin1, Simon Gelman

  • 1Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Journal of Pain Research
|November 16, 2012
PubMed
Summary
This summary is machine-generated.

Chronic postsurgical pain remains underrepresented in medical literature and textbooks, except for pain following herniorrhaphy. Increased attention to this issue is a crucial first step in addressing neglected postsurgical pain.

Keywords:
chronic painneuropathic painpersistent painpostoperative pain

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Area of Science:

  • Medical research
  • Surgical outcomes
  • Pain management

Background:

  • Surgical procedures can lead to persistent chronic pain.
  • Despite its significance, chronic postsurgical pain has only recently gained attention in scientific publications.
  • This study investigates the hypothesis that chronic postsurgical pain is inadequately represented in academic discourse.

Purpose of the Study:

  • To assess the historical and current representation of chronic postsurgical pain in scientific literature and surgical textbooks.
  • To identify trends and patterns in the publication and discussion of postsurgical pain.

Main Methods:

  • Analysis of journal articles indexed in PubMed.
  • Review of relevant surgical textbooks.
  • Evaluation of representation based on editorials, article titles, and presence in top surgical journals.

Main Results:

  • Chronic postsurgical pain was significantly underrepresented from 1981-2000, particularly in surgical journals and textbooks.
  • A notable increase in interest has emerged, primarily concerning pain after herniorrhaphy.
  • The study highlights the need for this increased attention to extend to other surgical procedures.

Conclusions:

  • Chronic postsurgical pain continues to be a neglected topic, with the exception of pain following herniorrhaphy.
  • Shifting the focus and attitude towards chronic postsurgical pain is a critical initial step for effective management and research.