scholarly journals Abdominal Hernia Pain: Chronification Mechanisms after Hernia Surgery

2021 ◽  
Author(s):  
Roberto Sanisidro Torre
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Groin Pain ◽  
The Other ◽  
Abdominal Hernia ◽  
Acute Postoperative Pain ◽  
Hernia Surgery ◽  
Common Cause ◽  
Pain Chronification ◽  
The One

Groin pain is the most common cause of surgical intervention. There are 3 parameters that increase the chances of chronic pain. On the one hand, starting the surgery with high intensity pain that has not been previously controlled. On the other, insufficient anesthetic and analgesic control during the surgical procedure. Finally, an inadequate management of acute postoperative pain. The presence of groin pain and its poor control before the intervention predisposes to difficulties during the perioperative process. Thus, the appearance of acute postoperative pain not adequately controlled will prevent its remission in a natural way in the usual period (approximately 1 month) and will cause it to progress in intensity and continuity (from 1 month to 3 months after surgery), transforming into a chronic pain (from 3 months after the intervention). In this process of chronification, in which pain goes from nociceptive to neuropathic, different physiological sensitization mechanisms are involved, both peripheral and central. The chronification of the painful process and, ultimately, the therapeutic approach that we will have to use to try to prevent this process depends to a large extent on these modifications that facilitate the change in the nature of pain.

Lower Incidence of Postoperative Pain after Open Inguinal Hernia Surgery with the Usage of Synthetic Glue-Coated Mesh (Adhesix®)

2018 ◽  
Vol 84 (12) ◽  
pp. 1932-1937
Author(s):  
Anna-Maria ThÖLix ◽  
Jyrki Kössi ◽  
Veikko Remes ◽  
Tom Scheinin ◽  
Jukka Harju
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Demographic Data ◽  
Mesh Fixation ◽  
University Hospital ◽  
Chronic Groin Pain ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery ◽  
Anchoring System

Chronic groin pain after inguinal hernia mesh repair is a common problem. Mesh fixation without sutures has been suggested to have several advantages over the traditional suture fixation. The aim of this study was to compare two self-adhering meshes, the glued Adhesix® (AH) and the gripping Parietene ProGrip® (PP), and evaluate their impact on postoperative chronic pain and overall recovery. Two consultant surgeons performed altogether 393 open inguinal hernia operations at the Helsinki University Hospital during 2014 to 2015. The two groups, AH (n = 169) and PP (n = 224) were similar and comparable in terms of demographic data. The data were collected and analyzed from the patients’ medical records in the hospital's register. The patients were followed up for a period of 19 months (5-31 months). The number of patient contacts due to postoperative pain was significantly less common in the AH group than in the PP group, 4/169 (2.4%) versus 19/224 (8.5%) patients, respectively ( P = 0.011). The duration of pain was under three months for most patients, only two patients in the PP group had pain for over one year. The pain was treated most patients with anti-inflammatory painkillers, whereas injections of a local anesthetic and corticosteroid, and chronic pain medication was needed in some cases. It seems that the use of glue-coated mesh (Adhesix®) was associated with less postoperative visits due to pain compared with the self-fixating mesh with absorbable anchoring system (ProGrip®). Further studies with long-term follow-up are needed to confirm these results.

scholarly journals Relationship of Paratyphoid Fever to Food Poisoning Outbreaks

1925 ◽  
Vol 24 (1) ◽  
pp. 37-44 ◽  
Author(s):  
William G. Savage ◽  
P. Bruce White
Keyword(s):  
Food Poisoning ◽  
The Other ◽  
Considerable Proportion ◽  
Common Cause ◽  
Clinical Type ◽  
The Common ◽  
The One ◽  
Paratyphoid Fever ◽  
Relationship Of

Owing, in our opinion, to faulty classification and terminology of bacterial types, it is very common, especially on the Continent and, to a lesser extent, in U.S.A., to ascribe outbreaks of food poisoning to B. paratyphosus B, the common cause of paratyphoid fever. If such a conception is true, it is obvious that B. paratyphosus B can at one time cause paratyhpoid fever, at another an outbreak of food poisoning. Further, one would expect in outbreaks of either condition that some cases would be of the one clinical type while others would exhibit the other. In particular in outbreaks of paratyphoid fever in which the vehicle of infection was some form of food, it is to be anticipated, on this view, that a considerable proportion of the cases would be of acute food poisoning type.

scholarly journals Chronic Pain after Inguinal Hernia Repair

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Mallikarjuna Manangi ◽  
Santhosh Shivashankar ◽  
Abhishek Vijayakumar
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Injury ◽  
Statistical Significance ◽  
Preemptive Analgesia ◽  
Preoperative Pain ◽  
Hernia Surgery

Background. Chronic postherniorrhaphy groin pain is defined as pain lasting >6 months after surgery, which is one of the most important complications occurring after inguinal hernia repair, which occurs with greater frequency than previously thought. Material and Methods. Patients undergoing elective inguinal hernioplasty in Victoria Hospital from November 2011 to May 2013 were included in the study. A total of 227 patients met the inclusion criteria and were available for followup at end of six months. Detailed preoperative, intraoperative, and postoperative details of cases were recorded according to proforma. The postoperative pain and pain at days two and seven and at end of six months were recorded on a VAS scale. Results. Chronic pain at six-month followup was present in 89 patients constituting 39.4% of all patients undergoing hernia repair. It was seen that 26.9% without preoperative pain developed chronic pain whereas 76.7% of patients with preoperative pain developed chronic pain. Preemptive analgesia failed to show statistical significance in development of chronic pain (P=0.079). Nerve injury was present in 22 of cases; it was found that nerve injury significantly affected development of chronic pain (P=0.001). On multivariate analysis, it was found that development of chronic pain following hernia surgery was dependent upon factors like preoperative pain, type of anesthesia, nerve injury, postoperative local infiltration, postoperative complication, and most importantly the early postoperative pain. Conclusions. In the present study, we found that chronic pain following inguinal hernia repair causes significant morbidity to patients and should not be ignored. Preemptive analgesia and operation under local anesthesia significantly affect pain. Intraoperative identification and preservation of all inguinal nerves are very important. Early diagnosis and management of chronic pain can remove suffering of the patient.

Radical operation of inguinal hernia by the method of Prof. I. A. Praxin

1927 ◽  
Vol 23 (12) ◽  
pp. 1229-1240
Author(s):  
V. A. Astrakhansky
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Groin Pain ◽  
The Other ◽  
Radical Operation ◽  
Hernia Surgery ◽  
Anatomy And Physiology ◽  
Other Hand ◽  
Inguinal Hernia Surgery

Anatomical conditions play an important role in the results of any operation, including herniotomy. On the other hand, however, we see that whatever these conditions may be, the imperfection of some methods, e.g., the same Bascini method, remains unchanged. The frequent complaints of operated patients about heaviness in the groin, pain in the testicular and spermatic cord after operations performed lege artis according to this method convince us of this. All this prompts us to turn surgeons' attention to the method of inguinal hernia surgery, once proposed by the late Prof. I.A. Praxin, a method based on the idea of meeting all the requirements of anatomy and physiology, imitating nature itself in detail.

Acute postoperative pain predicts chronic pain after breast surgery for cancer

2007 ◽  
Vol 24 (Supplement 39) ◽  
pp. 174-175
Author(s):  
A. Fassoulaki ◽  
A. Melemeni ◽  
C. Staikou ◽  
A. Triga ◽  
C. Sarantopoulos
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Breast Surgery ◽  
Acute Postoperative Pain

scholarly journals Acute postoperative pain

2016 ◽  
Vol 11 (3) ◽  
pp. 231-233
Author(s):  
Adriana Alexandra BRĂDIŞ ◽  
◽  
Adrian Daniel TULIN ◽  
Erick NESTIANU ◽  
Ioana Anca BĂDĂRĂU ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Morbidity ◽  
Emotional Experience ◽  
Multimodal Analgesia ◽  
Postoperative Recovery ◽  
Psychological Effects ◽  
Acute Postoperative Pain ◽  
Pain Scales

Acute postoperative pain is a personal unpleasant sensory and emotional experience with negative physiological and psychological effects. Severe acute pain may increase postoperative morbidity and mortality and is a risk factor for chronic pain incidence. We evaluate pain intensity using pain scales. Pain management includes preventive analgesia who interacts and modulates central sensitization response and multimodal analgesia which uses two or more different analgesic mechanisms agents for a superior analgesic effect. Effective pain management provide early postoperative recovery and decrease the incidence of chronic pain.

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