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Effect of Preoperative Inflammatory Status and Comorbidities on Pain Resolution and Persistent Postsurgical Pain after Inguinal Hernia Repair
المؤلفون المشاركون
Meschi, Tiziana
Ambrosoli, Andrea Luigi
Cappelleri, Gianluca
Saccani Jotti, Gloria MR
Fanelli, Guido
Allegri, Massimo
Lavand'homme, Patricia
Bugada, Dario
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-03-09
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Poor acute pain control and inflammation are important risk factors for Persistent Postsurgical Pain (PPSP).
The aim of the study is to investigate, in the context of a prospective cohort of patients undergoing hernia repair, potential risk factors for PPSP.
Data about BMI, anxious-depressive disorders, neutrophil-tolymphocyte ratio (NLR), proinflammatory medical comorbidities were collected.
An analysis for correlation between comorbidities and PPSP was performed in those patients experiencing chronic pain at 3 months after surgery.
Tramadol resulted less effective in pain at movement in patients with a proinflammatory status.
Preoperative hypertension and NLR > 4 were correlated with PPSP intensity.
Regional anesthesia was significantly protective on PPSP when associated with ketorolac.
Patients with pain at 1 month were significantly more prone to develop PPSP at 3 months.
NSAIDs or weak opioids are equally effective on acute pain and on PPSP development after IHR, but Ketorolac has better profile in patients with inflammatory background or undergoing regional anesthesia.
Drug choice should be based on their potential side effects, patient’s profile (comorbidities, preoperative inflammation, and hypertension), and type of anesthesia.
Close monitoring is necessary to early detect pain conditions more prone to progress to a chronic syndrome.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bugada, Dario& Lavand'homme, Patricia& Ambrosoli, Andrea Luigi& Cappelleri, Gianluca& Saccani Jotti, Gloria MR& Meschi, Tiziana…[et al.]. 2016. Effect of Preoperative Inflammatory Status and Comorbidities on Pain Resolution and Persistent Postsurgical Pain after Inguinal Hernia Repair. Mediators of Inflammation،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1111126
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bugada, Dario…[et al.]. Effect of Preoperative Inflammatory Status and Comorbidities on Pain Resolution and Persistent Postsurgical Pain after Inguinal Hernia Repair. Mediators of Inflammation No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1111126
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bugada, Dario& Lavand'homme, Patricia& Ambrosoli, Andrea Luigi& Cappelleri, Gianluca& Saccani Jotti, Gloria MR& Meschi, Tiziana…[et al.]. Effect of Preoperative Inflammatory Status and Comorbidities on Pain Resolution and Persistent Postsurgical Pain after Inguinal Hernia Repair. Mediators of Inflammation. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1111126
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1111126
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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