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Is chronic post-herniorrhaphy pain always chronic? A literature review

Gabriel Sandblom1

  • 1Department of Clinical Science, Intervention and Technology, Karolinska Institute, Huddinge, Sweden.

Journal of Pain Research
|June 6, 2015
PubMed

Insights

Chronic post-surgery pain (CPSP) often improves over time, though it can be resistant to treatment. This study found pain dissipation times ranging from 1.3 to 9.2 years for post-herniorrhaphy pain.

Area of Science:

  • Pain Medicine
  • Surgical Outcomes
  • Quality of Life Research

Background:

  • Chronic post-surgery pain (CPSP) significantly impacts health-related quality of life after surgical procedures, especially for benign conditions.
  • The long-term natural trajectory of CPSP remains poorly understood.

Purpose of the Study:

  • To investigate the natural course and resolution time of chronic post-surgery pain (CPSP).
  • To estimate the time it takes for post-herniorrhaphy pain to dissipate.

Main Methods:

  • A systematic literature review was conducted to identify studies reporting repeated pain estimates after herniorrhaphy.
  • Pain halving times were calculated using available repeat pain estimates.

Main Results:

  • Eight studies met the inclusion criteria for the review.
  • Calculated pain halving times, with one outlier, ranged from 1.3 to 9.2 years, indicating eventual pain dissipation.

Conclusions:

  • While often treatment-resistant, CPSP can eventually resolve over extended periods.
  • Further research is needed to determine CPSP prevalence beyond ten years post-surgery.
Abstract

Keywords:
chronic post-surgery painhalvation timehernianeuropathic painpain

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