Postoperative pain

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Postoperative Pain

Postoperative pain is a common phenomenon experienced by patients after undergoing surgical procedures. It is a type of acute pain that arises as a direct consequence of a surgical intervention. The intensity and duration of postoperative pain can vary greatly depending on the type of surgery, the individual's pain threshold, and the effectiveness of pain management strategies implemented.

Definition[edit | edit source]

Postoperative pain is defined as any discomfort or unpleasant sensory experience associated with a surgical procedure. It is considered a form of acute pain due to its sudden onset and short duration, typically resolving as the surgical wound heals. However, if not properly managed, postoperative pain can transition into chronic pain.

Causes[edit | edit source]

The primary cause of postoperative pain is tissue damage resulting from the surgical procedure. This damage triggers an inflammatory response, leading to the release of various pain mediators such as prostaglandins, bradykinin, and histamine. These mediators sensitize nerve endings, resulting in pain. Other factors that can contribute to postoperative pain include pre-existing conditions, the type and location of the surgery, and the individual's psychological state.

Management[edit | edit source]

Effective management of postoperative pain is crucial to promote healing, improve patient comfort, and prevent complications. This typically involves a multimodal approach, combining different types of analgesics and non-pharmacological interventions. Analgesics used can include opioids, non-steroidal anti-inflammatory drugs (NSAIDs), and local anesthetics. Non-pharmacological interventions can include physical therapy, psychological support, and complementary therapies such as acupuncture.

Complications[edit | edit source]

If not adequately managed, postoperative pain can lead to various complications. These can include delayed wound healing, increased risk of postoperative complications such as pulmonary embolism or deep vein thrombosis, and the development of chronic pain. In addition, uncontrolled pain can have significant psychological impacts, leading to anxiety, depression, and reduced quality of life.

See Also[edit | edit source]




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Contributors: Prab R. Tumpati, MD