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Chronic postsurgical pain (CPSP): an underestimated problem after incisional hernia treatment

  • 0Department of General, Visceral, Transplantation, Vascular and Paediatric Surgery, Centre of Operative Medicine (ZOM), University Hospital of Wuerzburg, Würzburg, Germany.
Hernia : the Journal of Hernias and Abdominal Wall Surgery +

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March 25, 2024

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March 25, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Chronic postsurgical pain (CPSP) affects over half of patients after open incisional hernia repair, significantly reducing quality of life. Early identification via pain medication needs may help manage this frequent complication.

Area Of Science

  • Surgical outcomes research
  • Pain management
  • Hernia surgery complications

Background

  • Chronic postsurgical pain (CPSP) is a significant concern after open incisional hernia repair.
  • CPSP can negatively impact patient quality of life (QoL) despite successful hernia repair.

Purpose Of The Study

  • To determine the incidence and outcomes of CPSP following open incisional hernia repair.
  • To identify risk factors associated with developing CPSP.

Main Methods

  • Retrospective analysis of 182 patients undergoing open incisional hernia repair (2015-2021).
  • Evaluation of pre-existing conditions, hernia complexity, and postoperative pain medication.
  • Assessment of QoL and CPSP using the EuraHS QoL questionnaire.

Main Results

  • A 54.4% incidence of CPSP, including 14.8% severe CPSP (sCPSP), was observed over a 46-month follow-up.
  • No significant differences in hernia complexity or demographics between CPSP and non-CPSP groups.
  • Patients with CPSP reported significantly reduced QoL and had a higher initial analgesics score.

Conclusions

  • CPSP is a frequent and underestimated complication of open incisional hernia repair, impacting QoL.
  • Perioperative pain medication requirements, assessed by the analgesics score, can identify patients at risk for CPSP.
  • Timely adjustment of pain management may potentially alleviate CPSP severity or chronicity.

Keywords:

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