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Chapter 17 - Chronic Pain After Gynecological Surgery

Published online by Cambridge University Press:  08 March 2021

By
Anna Reinert  and
Michael Hibner
Edited by
Michael Hibner
Michael Hibner
Affiliation:
St Joseph’s Hospital & Medical Center, Phoenix, AZ
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Summary

Postoperative pain is a common problem in gynecology and other surgical specialties. The risk of postsurgical pain is higher in patients undergoing surgery for pain conditions or who have pain elsewhere in the body. Patients need to be appropriately counseled and prepared for surgery. Using an enhanced recovery after surgery (ERAS) protocol, preoperative gabapentin as well as regional blocks for anesthesia and postoperative pain control may minimize the risk of postsurgical pain. One of the most devastating problems after surgery is onset of central sensitization and complex regional pain syndrome that may be caused by inadequate postoperative pain management, and pain management is becoming more and more difficult because of changing laws regarding opioid prescription administration.

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Type
Chapter
Information
Management of Chronic Pelvic Pain
A Practical Manual
 , pp. 175 - 181
Publisher: Cambridge University Press
Print publication year: 2021

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