Understanding Chronic Post Surgical Pain - The Canadian Pain ...

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DefinitionIASP – chronic pain“Intermittent or continuous pain persisting beyond normal tissuehealing time”“3 months most convenient division between acute & chronic butfor research purposes, 6 months will often be preferred”Criteria for CPSP (Macrae & Davies, 1999):i. Pain must develop after a surgical procedure;ii. Pain is of at least 2 months duration;iii.iv.Other causes for the pain have been excluded;The possibility that the pain is from a pre-existing problemshould be explored and exclusion attempted.
TerminologyChronic post-surgicalsurgical painPost-surgical neuralgiaPost-operative ti traumatic ti nerve injuryNeuroma painPersistent scar painProcedure-specific pain syndromesPost-mastectomy pain syndrome (PMPS)Post-axillary dissection painIntercostobrachial nerve entrapment syndrome (INES)Phantom painStump painPost thoracotomy pain syndromeInternal mammary artery syndrome (IMAS) ………etc
Page 2 and 3: A review of chronic pain after surg
Page 7 and 8: CharacteristicsPredominantly neurop
Page 9 and 10: Epidemiological studiesCase ascerta
Page 11 and 12: Case ascertainmentMethodological ch
Page 13 and 14: Chronic pain after breast surgerySe
Page 15 and 16: Chronic pain after hernia surgeryIn
Page 17 and 18: Prognosis: long-term outcome?Smith
Page 19 and 20: Demographic factorsYounger age- bre
Page 21 and 22: Intraoperative nerve injury• risk
Page 23 and 24: Acute postoperative painPain intens
Page 25 and 26: Psychosocial factorsEur J Pain 2008
Page 27 and 28: Summary- common postoperative compl
Page 29 and 30: Thank you for listening!Kings Colle
Page 31 and 32: EU Hernia TrialistsCollaborationSur

Understanding Chronic Post Surgical Pain - The Canadian Pain ...

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