Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias - 20/03/18
Abstract |
Background |
After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care.
Methods |
Records of 177 patients undergoing cVHR were reviewed in order to characterize the burden of managing postoperative pain in the first post-operative year following open cVHR.
Results |
In this cohort, 91 patients initiated at least one unsolicited complaint of pain, though phone call (37), unscheduled clinic visit (45) or evaluation in the emergency room (9); among these an actionable diagnosis was found in 38 (41.8%). Among 41 patients who initiated additional unsolicited complaints of pain, an actionable diagnosis was found in only 3 patients. Risk factors for such complaints included pre-operative pain and the use of synthetic mesh.
Conclusions |
Even in the absence of an actionable diagnosis, significant resources are utilized in evaluation and management of unsolicited complaints of pain in the first year after cVHR.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Chronic pain has a significant impact on resource utilization following cVHR. |
• | cVHR patient records were analyzed for frequency of postoperative pain complaints. |
• | 21% of the cohort made multiple complaints of pain after their first complaint. |
• | Significant resources are utilized in managing pain complaints following cVHR. |
Keywords : Ventral hernia repair, Postoperative pain, Chronic pain, Mesh, Complications
Plan
Vol 215 - N° 4
P. 610-617 - avril 2018 Retour au numéro
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