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Post-Surgical Hidden Cost: Neuralgia

  • Paolo NotaroEmail author
  • Paolo Bocchi
  • Nicola Ladiana
  • Claudia Abbati
Chapter

Abstract

Is Neuralgia a frequent problem? How much does this complication affect the current surgical practice and how much does it cost?

To treat this problem, the authors examined epidemiology, neuralgia and aetiopathogenesis of the acute and chronic pain and identified some pre-intra- and post-operative condition that helps to minimise the problem.

This summary on post-operative chronic pain in anterior inguinal hernia repair aims to suggest to the surgeons and all the stakeholders that this pathology can give rise to chronic pain.

The only way to minimise this occurrence is to have a correct indication for surgery to select patients for a preoperative pain assessment, to scrupulously respect the hernia anatomy during surgery and to identify nerves to use the correct mesh according to guide lines.

Keywords

Chronic pain CPSP Neuropathy Multimodal approach Clinical assessment Health costs 

References

  1. 1.
    IASP Task Force on Taxonomy. Part III: pain terms, a current list with definitions and notes on usage. 2nd ed. Washington, DC: IASP Press; 1994. p. 209–14. (Classification of Chronic Pain).Google Scholar
  2. 2.
    Macrae WA. Chronic post-surgical pain: 10 years on. Br J Anaesth. 2008;101(1):77–86.CrossRefGoogle Scholar
  3. 3.
    Fletcher D, Stamer UM, Pogatzki-Zahn E, Zaslansky R, Tanase NV, Perruchoud C, et al. Chronic postsurgical pain in Europe: an observational study. Eur J Anaesthesiol. 2015;32(10):725–34.CrossRefGoogle Scholar
  4. 4.
    Hoofwijk DMN, Fiddelers AAA, Peters ML, Stessel B, Kessels AGH, Joosten EA, et al. Prevalence and predictive factors of chronic postsurgical pain and poor global recovery 1 year after outpatient surgery. Clin J Pain. 2015;31(12):1017–25.CrossRefGoogle Scholar
  5. 5.
    Neil MJ, Macrae WA. Post surgical pain- the transition from acute to chronic pain. Rev Pain. 2009;3(2):6–9.CrossRefGoogle Scholar
  6. 6.
    Martinez V, Ben Ammar S, Judet T, Bouhassira D, Chauvin M, Fletcher D. Risk factors predictive of chronic postsurgical neuropathic pain: the value of the iliac crest bone harvest model. Pain. 2012;153(7):1478–83.CrossRefGoogle Scholar
  7. 7.
    Althaus A, Hinrichs-Rocker A, Chapman R, Arránz Becker O, Lefering R, Simanski C, et al. Development of a risk index for the prediction of chronic post-surgical pain. Eur J Pain. 2012;16(6):901–10.CrossRefGoogle Scholar
  8. 8.
    Nikolajsen L, Brix LD. Chronic pain after surgery in children. Curr Opin Anaesthesiol. 2014;27(5):507–12.CrossRefGoogle Scholar
  9. 9.
    Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367(9522):1618–25.CrossRefGoogle Scholar
  10. 10.
    Schumpelick V. Does every hernia demand a mesh repair? A critical review. Hernia. 2001;5(1):5–8.CrossRefGoogle Scholar
  11. 11.
    Treede R-D, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7.PubMedPubMedCentralGoogle Scholar
  12. 12.
    Dworkin RH, Jensen MP, Gammaitoni AR, Olaleye DO, Galer BS. Symptom profiles differ in patients with neuropathic versus non-neuropathic pain. J Pain. 2007;8(2):118–26.CrossRefGoogle Scholar
  13. 13.
    Gray P. Acute neuropathic pain: diagnosis and treatment. Curr Opin Anaesthesiol. 2008;21(5):590–5.CrossRefGoogle Scholar
  14. 14.
    Haroutiunian S, Nikolajsen L, Finnerup NB, Jensen TS. The neuropathic component in persistent postsurgical pain: a systematic literature review. Pain. 2013;154(1):95–102.CrossRefGoogle Scholar
  15. 15.
    Dualé C, Ouchchane L, Schoeffler P, Dubray C, EDONIS Investigating Group. Neuropathic aspects of persistent postsurgical pain: a French multicenter survey with a 6-month prospective follow-up. J Pain. 2014;15(1):24.e1–24.e20.CrossRefGoogle Scholar
  16. 16.
    Montes A, Roca G, Sabate S, Lao JI, Navarro A, Cantillo J, et al. Genetic and clinical factors associated with chronic postsurgical pain after hernia repair, hysterectomy, and thoracotomy: a two-year multicenter cohort study. Anesthesiology. 2015;122(5):1123–41.CrossRefGoogle Scholar
  17. 17.
    Hagelberg N, Haanpää M. Can we prevent pain becoming chronic? Duodecim. 2015;131(3):249–54.PubMedGoogle Scholar
  18. 18.
    VanDenKerkhof EG, Hopman WM, Goldstein DH, Wilson RA, Towheed TE, Lam M, et al. Impact of perioperative pain intensity, pain qualities, and opioid use on chronic pain after surgery: a prospective cohort study. Reg Anesth Pain Med. 2012;37(1):19–27.CrossRefGoogle Scholar
  19. 19.
    Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR, et al. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011;15(3):239–49.CrossRefGoogle Scholar
  20. 20.
    HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1–165.CrossRefGoogle Scholar
  21. 21.
    Campanelli G, Bertocchi V, Cavalli M, Bombini G, Biondi A, Tentorio T, et al. Surgical treatment of chronic pain after inguinal hernia repair. Hernia. 2013;17(3):347–53.CrossRefGoogle Scholar
  22. 22.
    Nienhuijs SW, Rosman C, Strobbe LJA, Wolff A, Bleichrodt RP. An overview of the features influencing pain after inguinal hernia repair. Int J Surg. 2008;6(4):351–6.CrossRefGoogle Scholar
  23. 23.
    Sun P, Cheng X, Deng S, Hu Q, Sun Y, Zheng Q. Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty. Cochrane Database Syst Rev. 2017;2:CD010814.PubMedGoogle Scholar
  24. 24.
    Bracale U, Rovani M, Picardo A, Merola G, Pignata G, Sodo M, et al. Beneficial effects of fibrin glue (Quixil) versus Lichtenstein conventional technique in inguinal hernia repair: a randomized clinical trial. Hernia. 2014;18(2):185–92.CrossRefGoogle Scholar
  25. 25.
    Negro P, Basile F, Brescia A, Buonanno GM, Campanelli G, Canonico S, et al. Open tension-free Lichtenstein repair of inguinal hernia: use of fibrin glue versus sutures for mesh fixation. Hernia. 2011;15(1):7–14.CrossRefGoogle Scholar
  26. 26.
    Tolver MA, Rosenberg J, Juul P, Bisgaard T. Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair. Surg Endosc. 2013;27(8):2727–33.CrossRefGoogle Scholar
  27. 27.
    Berney CR, Yeo AET. Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs. Hernia. 2013;17(6):709–17.CrossRefGoogle Scholar
  28. 28.
    Chen DC, Amid PK. Prevention of inguinodynia: the need for continuous refinement and quality improvement in inguinal hernia repair. World J Surg. 2014;38(10):2571–3.CrossRefGoogle Scholar
  29. 29.
    Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016;17(2):131–57.CrossRefGoogle Scholar
  30. 30.
    Chaparro LE, Smith SA, Moore RA, Wiffen PJ, Gilron I. Pharmacotherapy for the prevention of chronic pain after surgery in adults. Cochrane Database Syst Rev. 2013;7:CD008307.Google Scholar
  31. 31.
    Andreae MH, Andreae DA. Local anaesthetics and regional anaesthesia for preventing chronic pain after surgery. Cochrane Database Syst Rev. 2012;10:CD007105.PubMedPubMedCentralGoogle Scholar
  32. 32.
    McNicol ED, Schumann R, Haroutounian S. A systematic review and meta-analysis of ketamine for the prevention of persistent post-surgical pain. Acta Anaesthesiol Scand. 2014;58(10):1199–213.CrossRefGoogle Scholar
  33. 33.
    White PF, Sacan O, Tufanogullari B, Eng M, Nuangchamnong N, Ogunnaike B. Effect of short-term postoperative celecoxib administration on patient outcome after outpatient laparoscopic surgery. Can J Anaesth. 2007;54(5):342–8.CrossRefGoogle Scholar
  34. 34.
    Markman JD, Philip A. Interventional approaches to pain management. Anesthesiol Clin. 2007;25(4):883–98, viii.CrossRefGoogle Scholar
  35. 35.
    Legge 15 marzo 2010 - n° 38 “Disposizioni per garantire l’accesso alle cure palliative e alla terapia del dolore” (G.U. Serie Generale, n. 65 del 19-03-2010).Google Scholar
  36. 36.
    Notaro P, et al. Dolore cronico, Dolore inutile. Strutture di Terapia del Dolore in Italia. Perché un libro bianco [Internet]. 2009. Available from: http://www.nopain.it
  37. 37.
    Notaro P, et al. Dolore cronico, dolore inutile. Strutture di Terapia del dolore in Italia. Perché un aggiornamento del libro bianco [Internet]. 2012. Available from: www.nopain.it
  38. 38.
    NOPAIN, Associazione italiana per la cura della malattia dolore [Internet]. 2007 [cited 2018 Jun 24]. Available from: http://www.nopain.it/
  39. 39.
    Gaskin DJ, Richard P. The economic costs of pain in the United States. J Pain. 2012;13(8):715–24.CrossRefGoogle Scholar
  40. 40.
    Tumin D, Drees D, Miller R, Wrona S, Hayes D, Tobias JD, et al. Health care utilization and costs associated with pediatric chronic pain. J Pain. 2018;19(9):973–82.CrossRefGoogle Scholar
  41. 41.
    Groenewald CB, Essner BS, Wright D, Fesinmeyer MD, Palermo TM. The economic costs of chronic pain among a cohort of treatment-seeking adolescents in the United States. J Pain. 2014;15(9):925–33.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Paolo Notaro
    • 1
    Email author
  • Paolo Bocchi
    • 2
  • Nicola Ladiana
    • 1
  • Claudia Abbati
    • 3
    • 4
  1. 1.Pain Management UnitNiguarda HospitalMilanItaly
  2. 2.Valparma hospitalLanghiranoItaly
  3. 3.Department of SurgeryNiguarda HospitalMilanItaly
  4. 4.University of MilanMilanItaly

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