Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias

Colin G. DeLong, Justin A. Doble, Amber L. Schilling, Eric Pauli, David Soybel

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care. Methods: Records of 177 patients undergoing cVHR were reviewed in order to characterize the burden of managing postoperative pain in the first post-operative year following open cVHR. Results: In this cohort, 91 patients initiated at least one unsolicited complaint of pain, though phone call (37), unscheduled clinic visit (45) or evaluation in the emergency room (9); among these an actionable diagnosis was found in 38 (41.8%). Among 41 patients who initiated additional unsolicited complaints of pain, an actionable diagnosis was found in only 3 patients. Risk factors for such complaints included pre-operative pain and the use of synthetic mesh. Conclusions: Even in the absence of an actionable diagnosis, significant resources are utilized in evaluation and management of unsolicited complaints of pain in the first year after cVHR.

Original languageEnglish (US)
Pages (from-to)610-617
Number of pages8
JournalAmerican Journal of Surgery
Volume215
Issue number4
DOIs
StatePublished - Apr 1 2018

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Ventral Hernia
Herniorrhaphy
Pain
Ambulatory Care
Postoperative Pain
Chronic Pain
Hospital Emergency Service
Quality of Life

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias",
abstract = "Background: After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care. Methods: Records of 177 patients undergoing cVHR were reviewed in order to characterize the burden of managing postoperative pain in the first post-operative year following open cVHR. Results: In this cohort, 91 patients initiated at least one unsolicited complaint of pain, though phone call (37), unscheduled clinic visit (45) or evaluation in the emergency room (9); among these an actionable diagnosis was found in 38 (41.8{\%}). Among 41 patients who initiated additional unsolicited complaints of pain, an actionable diagnosis was found in only 3 patients. Risk factors for such complaints included pre-operative pain and the use of synthetic mesh. Conclusions: Even in the absence of an actionable diagnosis, significant resources are utilized in evaluation and management of unsolicited complaints of pain in the first year after cVHR.",
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Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias. / DeLong, Colin G.; Doble, Justin A.; Schilling, Amber L.; Pauli, Eric; Soybel, David.

In: American Journal of Surgery, Vol. 215, No. 4, 01.04.2018, p. 610-617.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Delineating the burden of chronic post-operative pain in patients undergoing open repair of complex ventral hernias

AU - DeLong, Colin G.

AU - Doble, Justin A.

AU - Schilling, Amber L.

AU - Pauli, Eric

AU - Soybel, David

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N2 - Background: After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care. Methods: Records of 177 patients undergoing cVHR were reviewed in order to characterize the burden of managing postoperative pain in the first post-operative year following open cVHR. Results: In this cohort, 91 patients initiated at least one unsolicited complaint of pain, though phone call (37), unscheduled clinic visit (45) or evaluation in the emergency room (9); among these an actionable diagnosis was found in 38 (41.8%). Among 41 patients who initiated additional unsolicited complaints of pain, an actionable diagnosis was found in only 3 patients. Risk factors for such complaints included pre-operative pain and the use of synthetic mesh. Conclusions: Even in the absence of an actionable diagnosis, significant resources are utilized in evaluation and management of unsolicited complaints of pain in the first year after cVHR.

AB - Background: After open complex ventral hernia repair (cVHR), chronic pain has a significant impact on quality of life and processes of care. Methods: Records of 177 patients undergoing cVHR were reviewed in order to characterize the burden of managing postoperative pain in the first post-operative year following open cVHR. Results: In this cohort, 91 patients initiated at least one unsolicited complaint of pain, though phone call (37), unscheduled clinic visit (45) or evaluation in the emergency room (9); among these an actionable diagnosis was found in 38 (41.8%). Among 41 patients who initiated additional unsolicited complaints of pain, an actionable diagnosis was found in only 3 patients. Risk factors for such complaints included pre-operative pain and the use of synthetic mesh. Conclusions: Even in the absence of an actionable diagnosis, significant resources are utilized in evaluation and management of unsolicited complaints of pain in the first year after cVHR.

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