医学
子宫切除术
焦虑
围手术期
慢性疼痛
萧条(经济学)
盆腔疼痛
心理干预
生活质量(医疗保健)
物理疗法
外科
精神科
护理部
宏观经济学
经济
作者
Birgitte Brandsborg,Lone Nikolajsen
标识
DOI:10.1097/aco.0000000000000586
摘要
Hysterectomy is a common surgical procedure with a low risk of major complications. However, some women experience long-lasting complications, including chronic postsurgical pain, which can have a negative impact on their quality of life. This review aims to present the recent literature on chronic pain following hysterectomy for benign indications.Chronic pain following hysterectomy is reported in 10-50% of women. Risk factors include preoperative pelvic pain, pain elsewhere, acute postoperative pain, surgical procedure, and psychological factors such as anxiety and depression. The pain may be neuropathic in 5-50% of cases.Chronic pain may occur after hysterectomy. Preoperative screening tools, including psychological screening for depression and anxiety, may identify women at risk of developing chronic postsurgical pain, and future studies should examine perioperative interventions aimed at preventing the development of chronic pain after hysterectomy.
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