The Pennsylvania State University, College of Medicine, Department of Surgery, Hershey, PA 17033-0850, USA.
The Pennsylvania State University, College of Medicine, Department of Surgery, Hershey, PA 17033-0850, USA.
Am J Surg. 2018 Apr;215(4):610-617. doi: 10.1016/j.amjsurg.2018.01.030. Epub 2018 Feb 2.
After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care.
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.
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.
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.
开放式复杂腹侧疝修补术（cVHR）后，慢性疼痛对生活质量和治疗过程有重大影响。
回顾了 177 例接受 cVHR 的患者的记录，以描述在开放式 cVHR 后第一个术后年内管理术后疼痛的负担。
在该队列中，91 例患者至少提出了一次未经请求的疼痛投诉，通过电话（37 例）、非计划性就诊（45 例）或急诊室评估（9 例）；其中 38 例（41.8%）存在可采取行动的诊断。在 41 例开始额外未经请求的疼痛投诉的患者中，仅在 3 例患者中发现可采取行动的诊断。这些投诉的风险因素包括术前疼痛和使用合成网片。
即使没有可采取行动的诊断，在 cVHR 后第一年评估和管理未经请求的疼痛投诉也会耗费大量资源。
