Chronic postsurgical pain and neuropathic symptoms after abdominal hysterectomy: A silent epidemic

Serbülent Gökhan Beyaz, Hande Özocak, Tolga Ergönenç, Onur Palabıyık, Ayça Taş Tuna, Burak Kaya, Ünal Erkorkmaz, Nermin Akdemir, Serbülent Gökhan Beyaz, Hande Özocak, Tolga Ergönenç, Onur Palabıyık, Ayça Taş Tuna, Burak Kaya, Ünal Erkorkmaz, Nermin Akdemir

Abstract

Chronic postsurgical pain (CPSP) is an important clinic problem. It is assessed that prevalence of chronic pain extends to 30% but it is contended that there are various risk factors. We aimed to evaluate the prevalence of chronic pain after hysterectomy, risk factors of chronicity, neuropathic features of pain, and sensorial alterations at surgery area.Between years 2012 and 2015, 16 to 65 ages old patients that electively undergone total abdominal hysterectomy bilateral salpingo-oophorectomy and passed minimum 3 months after surgery were included to study. Visual analog scale (VAS) and Douleur Neuropathique 4-questionnaire (DN-4) surveys were used to evaluate pain symptoms, algometry device was used for evaluating abdominal pressure threshold and Von Frey Filament was used for sensorial alterations.Ninety-three of 165 eligible patients were included to study. As the groups were compared by demographic data, no difference was obtained (P > 0.05). There was no difference between groups regarding patient and surgery attributes (P > 0.05). Most frequently performed incision type was Pfannenstiel. Neuropathic symptoms were observed in 90 patients (96.8%). Sensorial alterations as hypoesthesia and hyperesthesia were detected around abdominal scar in 18 patients (19.4%) with pinprick test.Neuropathic symptoms should not be ignored in studies evaluating CPSP and a standard methodology should be designed for studies in this topic.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
The pain assessment locations of the incision in the abdomen.
Figure 2
Figure 2
Algometer.

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Source: PubMed

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