Characteristics Of Chronic Post Surgical Pain After Hernia Repair Data From The Gendolcat Study
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Characteristics Of Chronic Post Surgical Pain After Hernia Repair Data From The Gendolcat Study
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Author : Luis Moltu00f3
language : en
Publisher:
Release Date : 2017
Characteristics Of Chronic Post Surgical Pain After Hernia Repair Data From The Gendolcat Study written by Luis Moltu00f3 and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background and Aim: Inguinal hernia repair (IHR) is associated with chronic postsurgical pain (CPSP). We analyzed CPSP characteristics in the first 2 yr after IHR surgery. Materials and methods: Prospective multicenter cohort study (GENDOLCAT1) in 23 hospitals (2009-10) in patients aged over 18 yr undergoing elective IHR. Patients with pain were identified by telephone questionnaire 4 mo after surgery and referred to a hospital for diagnosis (pain history and examination). They were telephoned again at 12 and 24 mo to determine the incidence of CPSP, intensity on a numerical rating scale (NRS) and verbal categorical scale (VCS), pain location, characteristics (with the Douleur Neuropathique questionnaire (DN4)); interference with daily living, physical and mental health (Short Form Health Survey-12 [SF-12]), analgesics used, and return to work. Data were expressed as percentages or means (SD). Results: We included 1761 patients (mean age, 53.8 [14.5] yr). CPSP incidences at 4, 12, and 24 mo were 13.6%, 6.2% and 4.1%. The mean NRS score was 3.9 (2.0) at 4 mo; 4 (2.1) at 12 mo, and 4.2 (2.0) at 24 mo. Intense/excruciating pain (VCS) was reported by 9.6%, 16.1% and 16.9% at 4, 12, and 24 mo, respectively. Pain was in the groin in 66.9% and in the scar in 51.2%. At 4 mo, 38.7% had neuropathic pain with the following features: numbness (47.6% of those with neuropathic pain), pins and needles (47.0%), hypoesthesia (45.8%), electric shocks (29.2%), and burning (27.4%). CPSP interfered with activities (18%), work (15.6%), walking (15%) and mood (10.2%). The mean physical summary SF-12 scores of patients with CPSP were 44.5 (9.8) before surgery and 44.7 (9.5) at 4 mo; their pre- and postoperative (4 mo) mental summary scores were 53.9 (9.8) and 52.7 (9.1), respectively. At 2 yr 28.2% took analgesics (acetaminophen, 15.5%; nonsteroidal antiinflammatory drugs, 19.7%; opioids, 2.8%) and 3.8% had not returned to work. Conclusions: CPSP is common after IHR. The incidence of neuropathic pain in this prospective study was menor than other studies. Interference with activities of daily living was also high, and some were still not working after 2 yr. Surprisingly few patients took analgesics. ReferenceMontes A, Roca G, Sabatu00e9 S, Lao JI, Navarro A, Cantillo J, Canet J. Genetic and clinical factors associated with chronic postsurgical pain after hernia repair, hysterectomy, and thoracotomy: a two-year multicenter cohort study. Anesthesiology. 2015(122); 1123-41.
Fundamentals Of Cancer Pain Management
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Author : Andrew Leitner
language : en
Publisher: Springer Nature
Release Date : 2021-09-20
Fundamentals Of Cancer Pain Management written by Andrew Leitner and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-20 with Medical categories.
This book presents a timely and multidisciplinary update on the modalities currently available for treating the most feared symptom of patients diagnosed with cancer. The various cancer pain syndromes are explored in detail, covering those related directly to malignancy and those due to the after-effects of cancer therapy. Treatment modalities, including pharmacologic approaches, interventional procedures, and palliative surgical options, are discussed clearly and concisely, with provision of recommendations for the practitioner. Further topics include new and emerging treatments for cancer pain, survivorship considerations, pain management in special populations, and implementation of systems-based pain programs. The book has been written by a multidisciplinary group of experts, reflecting the evolution in pain and symptom management that has occurred in parallel with progress toward more targeted oncologic treatments. Oncologists, palliative care physicians, allied health professionals, and other practitioners involved in caring for cancer patients will find Fundamentals of Cancer Pain Management to be a rich source of evidence-based insights into effective pain management.
Thoracic Endoscopy
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Author : Michael J. Simoff
language : en
Publisher: John Wiley & Sons
Release Date : 2008-04-15
Thoracic Endoscopy written by Michael J. Simoff and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-15 with Medical categories.
Written by some of the world's leading practitioners - and pioneers - in the field, Thoracic Endoscopy is the first up-to-the-minute, expert reference for clinicians with a solid foundation in diagnostic bronchoscopy and chest medicine needing to extend their clinical expertise in response to two decades of rapid development. Thoracic Endoscopy covers four key areas of practice: advanced diagnostic bronchoscopy the latest techniques for interventional bronchoscopy — including the traditional rigid bronchoscopy techniques, ablative instruments and stents — and a discussion of endobronchial lung reduction and gene therapy a window to the pleura, covering the field of pleuroscopy and the advances in diagnosis and treatment clinical problems and methodologies, and strategies for solving them using interventional techniques Thoracic Endoscopy presents the only coherent guide to the full range of techniques and practice patterns, and is the essential reference for both experienced interventional pulmonologists and students beginning to practice in this rapidly-developing field.
Cartilage Injury Of The Knee
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Author : Aaron J. Krych
language : en
Publisher: Springer Nature
Release Date : 2021-08-31
Cartilage Injury Of The Knee written by Aaron J. Krych and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-08-31 with Medical categories.
Cartilage injuries of the knee are common, and diagnosis and treatment options have continued to evolve. This book focuses on current non-operative and surgical treatment strategies for articular cartilage injuries, highlighting the controversies and different approaches from an international perspective. This book includes information on the basic science of cartilage structure and function, expert perspectives on imaging and diagnosing, as well as work-up of athletes and patients presenting with acute or chronic cartilage injury. It also provides an evidence base for current cutting-edge cartilage repair and restoration. Written by leading experts in the field, the book, published in collaboration with ISAKOS and ICRS, is vital reading for orthopaedic and sports medicine surgeons, fellows and residents. It is also of interest to sports trainers, physiotherapists, medical students, postgraduate students, and physical medicine and rehabilitation specialists.
Musculoskeletal Pain
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Author : Thomas Graven-Nielsen
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2015-06-01
Musculoskeletal Pain written by Thomas Graven-Nielsen and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-06-01 with Medical categories.
Musculoskeletal Pain: Basic Mechanisms and Implications presents state-of-the-art research into the peripheral and central neurobiological mechanisms in musculoskeletal pain. Presented in three main sections, this publication will update the reader on the clinical perspectives in musculoskeletal conditions; muscle, joint, bone, and fascia nociception; and translational musculoskeletal pain and quantitative models.
Space Physiology And Medicine
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Author : Arnauld E. Nicogossian
language : en
Publisher:
Release Date : 1982
Space Physiology And Medicine written by Arnauld E. Nicogossian and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1982 with Space environment categories.
2009 life science book award from IAA.
Spinal Anatomy
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Author : Jean Marc Vital
language : en
Publisher: Springer Nature
Release Date : 2019-12-16
Spinal Anatomy written by Jean Marc Vital and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-16 with Medical categories.
This richly illustrated and comprehensive book covers a broad range of normal and pathologic conditions of the vertebral column, from its embryology to its development, its pathology, its dynamism and its degeneration. The dynamic anatomy of the living subject is viewed using the latest technologies, opening new perspectives to elucidate the pathology of the spine and improve spinal surgery. The respective chapters review in depth all sections of the vertebral column and offer new insights, e.g. the 3D study of vertebral movements using the “EOS system,” which makes it possible to define an equilibrium of posture and its limits. New histological and chemical findings on the intervertebral disc, as well as detailed descriptions of the aponeuroses and fasciae, are also provided. Bringing together the experience of several experts from the well-known French school, this book offers a valuable companion for skilled experts and postgraduate students in various fields: orthopedic surgery, neurosurgery, physiotherapy, rheumatology, musculoskeletal therapy, rehabilitation, and kinesiology.