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Chapter 17 - Chronic Pain After Gynecological Surgery

Published online by Cambridge University Press:  08 March 2021

Michael Hibner
Affiliation:
St Joseph’s Hospital & Medical Center, Phoenix, AZ
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Summary

Postoperative pain is a common problem in gynecology and other surgical specialties. The risk of postsurgical pain is higher in patients undergoing surgery for pain conditions or who have pain elsewhere in the body. Patients need to be appropriately counseled and prepared for surgery. Using an enhanced recovery after surgery (ERAS) protocol, preoperative gabapentin as well as regional blocks for anesthesia and postoperative pain control may minimize the risk of postsurgical pain. One of the most devastating problems after surgery is onset of central sensitization and complex regional pain syndrome that may be caused by inadequate postoperative pain management, and pain management is becoming more and more difficult because of changing laws regarding opioid prescription administration.

Type
Chapter
Information
Management of Chronic Pelvic Pain
A Practical Manual
, pp. 175 - 181
Publisher: Cambridge University Press
Print publication year: 2021

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References

Macrae, WA. Chronic pain after surgery. Br J Anaesth. 2001;87(1):8898.CrossRefGoogle ScholarPubMed
Werner, MU, Kongsgaard, UE. Defining persistent post-surgical pain: is an update required? Br J Anaesth. 2014;113(1):14.CrossRefGoogle ScholarPubMed
Bruce, J, Quinlan, J. Chronic post surgical pain. Rev Pain. 2011;5(3):23–9.Google Scholar
Kehlet, H, Jensen, TS, Woolf, CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367(9522):1618–25.Google Scholar
Senapati, S, Atashroo, D, Carey, E, Dassel, M, Tu, MFF. Surgical interventions for chronic pelvic pain. Curr Opin Obstet Gynecol. 2016;28(4):290–6.CrossRefGoogle ScholarPubMed
Sharp, HT. Myofascial pain syndrome of the abdominal wall for the busy clinician. Clin Obstet Gynecol. 2003;46(4):783–8.CrossRefGoogle ScholarPubMed
Sharp, HT. Management of postoperative abdominal wall pain. Clin Obstet Gynecol. 2015;58(4):798804.CrossRefGoogle ScholarPubMed
Butrick, CW. Pathophysiology of pelvic floor hypertonic disorders. Obstet Gynecol Clin North Am. 2009a;36(3):699705.CrossRefGoogle ScholarPubMed
Butrick, CW. Pelvic floor hypertonic disorders: identification and management. Obstet Gynecol Clin North Am. 2009b; 36(3):707–22.Google ScholarPubMed
Suleiman, S, Johnston, DE. The abdominal wall: an overlooked source of pain. Am Fam Physician. 2001;64(3):431–8.Google ScholarPubMed
Vellido-Cotelo, R, Muñoz-González, JL, Oliver-Pérez, MR, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Womens Health. 2015;15(1).Google Scholar
Horton, JD, DeZee, KJ, Ahnfeldt, EP, Wagner, M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196(2):207–12.Google Scholar
Howard, FM, El-Minawi, AM, Sanchez, RA. Conscious pain mapping by laparoscopy in women with chronic pelvic pain. Obstet Gynecol. 2000;96(6):934–9.Google Scholar
Koninckx, PR, Gomel, V. Introduction: Quality of pelvic surgery and postoperative adhesions. Fertil Steril. 2016;106(5):991–3.CrossRefGoogle ScholarPubMed
Perry, CP. Peripheral neuropathies causing chronic pelvic pain. J Am Assoc Gynecol Laparosc. 2000;7(2):281–7.CrossRefGoogle ScholarPubMed
Rahn, DD, Phelan, JN, Roshanravan, SM, White, AB, Corton, MM. Anterior abdominal wall nerve and vessel anatomy: clinical implications for gynecologic surgery. Am J Obstet Gynecol. 2010;202(3):234.e1234.e5.Google Scholar
Robert, R, Prat-Pradal, D, Labat, JJ, Bensignor, M, Raoul, S, Rebai, R, Leborgne, J. Anatomic basis of chronic perineal pain: role of the pudendal nerve. Surg Radiol Anat: SRA. 1998;20(2):93–8.Google Scholar
Hibner, M, Desai, N, Robertson, LJ, Nour, M. Pudendal neuralgia. J Minim Invasive Gynecol. 2010;17(2):148–53.CrossRefGoogle ScholarPubMed
McDonald, JS, Spigos, DG. Computed tomography-guided pudendal block for treatment of pelvic pain due to pudendal neuropathy. Obstet Gynecol. 2000;95(2):306–9.Google Scholar
Jarrell, J, Ross, S, Robert, M, Wood, S, Tang, S, Stephanson, K, Giamberardino, MA. Prediction of postoperative pain after gynecologic laparoscopy for nonacute pelvic pain. Am J Obstet Gynecol. 2014;211(4):360.e1360.e8.Google Scholar
Steward, R, Carney, P, Law, A, Xie, L, Wang, Y, Yuce, H. Long-term outcomes after elective sterilization procedures: a comparative retrospective cohort study of Medicaid patients. Contraception. 2018.Google Scholar
Carney, PI, Yao, J, Lin, J, Law, A. Occurrence of chronic pelvic pain, abnormal uterine bleeding, and hysterectomy postprocedure among women who have undergone female sterilization procedures: a retrospective claims analysis of commercially insured women in the US. J Minim Invasive Gynecol. 2017;25(4):651–60.Google ScholarPubMed
Yunker, AC, Ritch, JMB, Robinson, EF, Golish, CT. Incidence and risk factors for chronic pelvic pain after hysteroscopic sterilization. J Minim Invasive Gynecol. 2015;22(3):390–4.CrossRefGoogle ScholarPubMed
Arjona Berral, J, Rodríguez Jiménez, B, Velasco Sánchez, E, et al. Essure® and chronic pelvic pain: a population-based cohort. J Obstet Gynaecol. 2014;34(8):712–13.CrossRefGoogle ScholarPubMed
Brandsborg, B, Nikolajsen, L, Kehlet, H, Jensen, TS. Chronic pain after hysterectomy. Acta Anaesth Scand. 2008;52(3):327–31.CrossRefGoogle ScholarPubMed
Weibel, S, Neubert, K, Jelting, Y, Meissner, W, Wöckel, A, Roewer, N, Kranke, P. Incidence and severity of chronic pain after caesarean section: a systematic review with meta-analysis. Eur J Anaesthesiol. 2016;33(11):853–65.CrossRefGoogle ScholarPubMed
Nikolajsen, L, Sorensen, HC, Jensen, TS, Kehlet, H. Chronic pain following Caesarean section. Acta Anaesthesiol Scand. 2004;48(1):111–16.CrossRefGoogle ScholarPubMed
Jin, J, Peng, L, Chen, Q, Zhang, D, Ren, L, Qin, P, Min, S. Prevalence and risk factors for chronic pain following cesarean section: a prospective study. BMC Anesthesiol. 2016;16(1):112.CrossRefGoogle ScholarPubMed
Wishall, KM, Price, J, Pereira, N, Butts, SM, Badia, CRD. Postablation risk factors for pain and subsequent hysterectomy. Obstet Gynecol. 2014;124(5):904–10.Google Scholar
Thomassee, MS, Curlin, H, Yunker, A, Anderson, TL. Predicting pelvic pain after endometrial ablation: which preoperative patient characteristics are associated? J Minim Invasive Gynecol. 2013;20(5):642–7.CrossRefGoogle ScholarPubMed
Kreider, SE, Starcher, R, Hoppe, J, Nelson, K, Salas, N. Endometrial ablation: is tubal ligation a risk factor for hysterectomy? J Minim Invasive Gynecol. 2013;20(5):616–19.Google Scholar
Clarke, H, Bonin, RP, Orser, BA, Englesakis, M, Wijeysundera, DN, Katz, J. The prevention of chronic postsurgical pain using gabapentin and pregabalin: a combined systematic review and meta-analysis. Anesth Analg. 2012;115(2):428–42.CrossRefGoogle ScholarPubMed
Martinez, V, Pichard, X, Fletcher, D. Perioperative pregabalin administration does not prevent chronic postoperative pain: systematic review with a meta-analysis of randomized trials. Pain. 2017;158(5):775–83.Google Scholar
Chaparro, LE, Smith, SA, Moore, RA, Wiffen, PJ, Gilron, I. Pharmacotherapy for the prevention of chronic pain after surgery in adults (Review). Cochrane Database Syst Rev. 2013;(7):CD008307.Google Scholar
Rivat, C, Bollag, L, Richebé, P. Mechanisms of regional anaesthesia protection against hyperalgesia and pain chronicization. Curr Opin Anaesthesiol. 2013;26(5):621–5.CrossRefGoogle ScholarPubMed
Andreae, M, Andreae, D. Local anaesthetics and regional anaesthesia for preventing chronic pain after surgery. Cochrane Database Syst Rev. 2012;(10):177.Google Scholar
Katz, J, Cohen, L. Preventive analgesia is associated with reduced pain disability 3 weeks but not 6 months after major gynecologic surgery by laparotomy. Anesthesiology. 2004;101(1):169–74.Google Scholar
Shahin, AY, Osman, AM. Intraperitoneal lidocaine instillation and postcesarean pain after parietal peritoneal closure: a randomized double blind placebo-controlled trial. Clin J Pain. 2010;26(2):121–7.CrossRefGoogle ScholarPubMed

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