miércoles, 11 de abril de 2018

Dolor persistente postcirugía / Persistent postsurgical pain

Marzo 27, 2018. No. 3035

Dolor persistente y anomalías sensoriales después de la abdominoplastia.
Persistent Pain and Sensory Abnormalities after Abdominoplasty.
Plast Reconstr Surg Glob Open. 2015 Dec 9;3(11):e561. doi: 10.1097/GOX.0000000000000542. eCollection 2015 Nov.
BACKGROUND: Persistent postsurgical pain is a well-recognized problem after a number of common surgical procedures, such as amputation, thoracotomy, and inguinal hernia repair. Less is known about persistent pain after cosmetic surgical procedures. We, therefore, decided to study the incidence and characteristics of persistent pain after abdominoplasty, which is one of the most frequent cosmetic surgical procedures. METHODS: In September 2014, a link to a web-based questionnaire was mailed to 217 patients who had undergone abdominoplastybetween 2006 and 2014 at the Department of Plastic Surgery, Aalborg University Hospital, Denmark. The questionnaire included questions about pain and sensory abnormalities located to the abdominal skin, and physical and psychological function; patient satisfaction with surgery was rated on a 4-point scale. RESULTS: One hundred seventy patients answered the questionnaire. Fourteen patients (8.2%) reported pain within the past 7 days related to the abdominoplasty. Abnormal abdominal skin sensation was common and reported by 138 patients (81%). Sensory hypersensitivity was associated with the presence of persistent pain. Satisfaction with the procedure was reported by 149 (88%) patients. The majority of patients reported improvement on all physical and psychological factors. Patients with pain were more often disappointed with the surgery and unwilling to recommend the surgery. CONCLUSIONS: Overall, patients were satisfied with the procedure, although abnormal abdominal skin sensation was common. However, there is a risk of developing persistent neuropathic pain after abdominoplasty, and patients should be informed about this before surgery.
Dolor postquirúrgico persistente en niños y jóvenes: predicción, prevención y manejo.
Persistent postsurgical pain in children and young people: prediction, prevention, and management.
Pain Rep. 2017 Aug 21;2(5):e616. doi: 10.1097/PR9.0000000000000616. eCollection 2017 Sep.
Ensuring optimum preoperative and postoperative pain management should always be a priority in children.
Pediatrics; Postsurgical pain; Surgery
La asociación entre la esperanza, el estado civil, la depresión y el dolor persistente en hombres y mujeres después de una cirugía cardíaca.
The association between hope, marital status, depression and persistent pain in men and women following cardiac surgery.
BMC Womens Health. 2018 Jan 2;18(1):2. doi: 10.1186/s12905-017-0501-0.
BACKGROUND: Cardiac surgery is a major life event, and outcomes after surgery are associated with men's and women's ability to self-manage and cope with their cardiac condition in everyday life. Hope is suggested to impact cardiac health by having a positive effect on how adults cope with and adapt to illness and recommended lifestyle changes. ....  CONCLUSION: Addressing pain and depression, and promoting hope, particularly for women living alone may be important targets for interventions to improve outcomes following cardiac surgery.
KEYWORDS: Cardiac surgery; Depression; Hope; Marital status; Persistent pain
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