XXX 2017 • Volume XXX • Number XXX www.anesthesia-analgesia.org 1 DOI: 10.1213/ANE.0000000000002165 SIGNIFICANCE OF PERIOPERATIVE PAIN MANAGEMENT Management of acute postoperative pain and its morbid transition to chronic postsurgical pain (CPSP) continue to be major health care challenges. CPSP is defined as pain that develops after surgery and persists for at least 2 months, with exclusion of...

BACKGROUND While many studies have addressed various issues with regards to pain management, there is limited knowledge about how nurses assess pain in surgical wards. This study aimed to describe Thai nurses' experiences of pain assessment in a surgical ward. METHODS A cross-sectional explorative study was conducted. Participants were selected through theoretical sampling. Data was collected...

BACKGROUND Nerve injury and consequent inflammatory responses produced by surgical incision result in a complicated pain status which still affects half of all surgical patients. Therefore, it is essential for anesthesiologists to identify the mechanisms of postoperative pain. Mast cells are resident cells of connective tissue and the mucosa that participate in the immune response. Degranulatio...

Surgical treatment of clinically significant varicocele in infertile men with pathospermia is a common practice. However, the question role this disease pathogenesis such conditions as hypogonadism and orchalgia, well varicocelectomy eliminating pain symptoms scrotum increasing testosterone levels, has remained ambiguous for long time. The expediency surgical patients azoospermia also remains s...

conclusions tap-block in conjunction with laparoscopic nephrectomy did not reduce pain or opioid consumption. on the contrary, it seemed to prolong surgical time. results mean surgical time was 162 minutes in group a and 92 minutes in group b (p < 0.0001). the means of visual analogue scale (vas) were 3.05 and 1.55 in a and b groups, respectively (p = 0.001). the means of morphine consumption w...

BACKGROUND Endoscopy and surgery are the treatment modalities of choice in patients with obstructive chronic pancreatitis. Physicians face the decision between endoscopy and surgery for this group of patients, without clear consensus. OBJECTIVES To assess and compare the effectiveness and complications of surgical and endoscopic interventions in the management of pain for obstructive chronic ...

Tonsillectomy is one of the most common surgical procedures for otolaryngologists. Although tonsillectomy procedures are common, like any surgical procedure, there are post-operative complaints and complications. The aim of this retrospective study was to evaluate the pattern of post-operative pain in tonsillectomy using the harmonic scalpel (HS). 43 patients were entered into this study (13 me...

Despite recent advances in surgical technique for inguinal hernia repair, chronic groin pain following the surgical repair of an inguinal hernia is not uncommon. Injury to the ilioinguinal, iliohypogastric, or genitofemoral nerves is the most common etiology. Specific risk factors that increase the likelihood of developing chronic groin pain have been identified. Ultrasound-guided peripheral ne...

The aim of this review is to analyze complications caused by postoperative pain and to describe related factors, such as age, sex, sociocultural or ethnic factors, type and location of the surgical pro c e d u re and anesthetic technique used. Postoperative pain is an acute pain that translates the response to the surgical aggression. Its unique feat u res make it diff e rent from other acute a...

STUDY DESIGN Diskectomy candidates with at least 6 weeks of sciatica and confirmatory imaging were enrolled in a randomized or observational cohort. OBJECTIVE This study sought to determine: (1) whether diskectomy resulted in greater improvement in back pain than nonoperative treatment, and (2) whether herniation location and morphology affected back pain outcomes. SUMMARY OF BACKGROUND DAT...