Chronic postsurgical pain (CPSP): an underestimated problem after incisional hernia treatment - Takeaways - MDSpire

Chronic postsurgical pain (CPSP): an underestimated problem after incisional hernia treatment

  • By

  • A. Widder

  • L. Reese

  • J. F. Lock

  • A. Wiegering

  • C.-T. Germer

  • H. L. Rittner

  • U. A. Dietz

  • N. Schlegel

  • M. Meir

  • March 25, 2024

  • 0 min

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  • 1

    Chronic postsurgical pain (CPSP) occurs in 3-20% of patients after incisional hernia surgery, impacting daily activities and quality of life.

  • 2

    CPSP is defined as pain lasting at least three months postoperatively, rated ≥3 on a numeric scale, and may have neuropathic components.

  • 3

    The incidence of CPSP after laparoscopic hernia repair ranges from 26.2% to 39%, while general visceral surgery shows rates between 5% and 85%.

  • 4

    Identified risk factors for CPSP include strong preoperative pain, young age, and female gender, but the overall incidence in larger cohorts remains unclear.

  • 5

    Effective management of CPSP is challenging, often requiring analgesics, physical therapy, or additional surgeries, which carry new risks.

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