Clinical Anesthesia & Research

Abstract

Chronic Post-Surgical Pain (CPSP) In Patients with No Pre- Surgery Pain or Pain History

Bell Almog RN MA, Yardena Kol RN PhD, Simi Shitrit RN MA, Dorit Kalmanovich RN MA, Ilana Benayon RN MA, Haya Bar RN, Rachel Levy RN BA, Iris Madmon RN MA, Yafit Samai RN.

The aim of this study was to examine CPSP rate in patients with no pre-surgery pain or pain history, following two types of surgical procedures. It focused on pain treatment during and after surgery and the consequences of early discharge on the patient's coping with self-treatment and use of community health services. The descriptive research was approved by the local Helsinki Commission (0150-09-KMC), and included a sample of 71 patients of genders, aged 25-67, undergoing open inguinal hernia repair or laparoscopic cholecystectomy under general anesthesia. The patients were discharged one day after the procedure, signing an informed consent form to participate in the study. Data was collected from medical records and a telephone interview conducted 3 months post-surgery. The results indicated low use of health services and 0% of CPSP in patients who had surgery for the first time, with no disease history involving chronic pain. Conclusion: In patients undergoing hernia repair and cholecystectomy with no history of disease causing chronic pain, receiving adequate pain treatment during and following surgery, CPSP did not develop. Taking pain medication following discharge was the only factor affecting the number of pain days and reducing risk of CPSP.

Perspective: This study examined the incidence of CPSP in patients undergoing their first surgery, with no presurgery pain or disease history involving chronic pain. Also investigated was the impact of discharge after one day on the patient's coping with self-treatment? Participants were interviewed three months post-surgery, and no incidence of CPSP was found.