Pain in the postoperative period of surgical treatment of carpal tanal syndrome
Abstract
One of the reasons for patients’ dissatisfaction with surgical treatment is postoperative pain syndrome. It is known that inattention to pain relief in the early postoperative period can lead to the formation of a chronic pain syndrome.
PURPOSE. To compare the intensity of pain syndrome in the postoperative period with three methods of surgical treatment of carpal tunnel syndrome.
RESULTS. The difference in the intensity of the pain syndrome in the early postoperative period may be due to the size of the surgical access, the involvement of the palmar aponeurosis in the formation of the scar after 6 months. At the same time, the long-term results (one year after the surgical treatment) are comparable with different types of median nerve decompression (p<0.05).
About the Authors
Y. V. Belyakov
«Polenov Neurosurgical Institute — branch of Almazov National Medical Research Centre»
Russian Federation
Russian Federation
Belyakov Yuri Vladimirovich
St. Petersburg
E. A. Oleinik
«Polenov Neurosurgical Institute — branch of Almazov National Medical Research Centre»
Russian Federation
Russian Federation
Oleynik Ekaterina Anatolyevna
St. Petersburg
A. S. Nazarov
«Polenov Neurosurgical Institute — branch of Almazov National Medical Research Centre»
Russian Federation
Russian Federation
Nazarov Alexander Sergeevich
St. Petersburg
A. Y. Orlov
«Polenov Neurosurgical Institute — branch of Almazov National Medical Research Centre»
Russian Federation
Russian Federation
Orlov Andrey Yuryevich
St. Petersburg
References
1. Belyakov Yu.V., Ivanenko A.V., Oleinik E. A., Afanas’eva I.S., Nazarov A.S., Orlov A. Yu. Complications of surgical treatment and causes of recurrence of carpal tunnel syndrome. Russian neurosurgical journal. prof. a. l. polenov. 2021;13(4): 15–21. (In russ.).
2. Rafati F., Soltaninejad M., Aflatoonian MR., Mashayekhi F. Postoperative pain: Managment and documentation by Iranian nurses. Mater Sociomed. 2016 Feb;28(1):36–40. doi: 10.5455/msm.2016.28.36–40. epub 2016 jan 30. pMId: 27047265; pMCId: pMC 4789620.
3. Poleshuck E.l., Katz J., Andrus C. H., et al. Risk factors for chronic pain following breast cancer surgery: a prospective study. j pain. 2006;7(9):626–34. doi: 10.1016/j.jpain.2006.02.007
4. Sng B.l., Sia A. T., Quek K., Woo D., Lim Y. Incidence and risk factors for chronic pain after caesarean section under spinal anaesthesia. anaesth Intensive Care. 2009;37(5):748–52. pMId: 19775038
5. A new minimally invasive technique for the treatment of patients with carpal tunnel syndrome / A.V. Zhigalo, V.V. Pochtenko, V.V. Morozov [et al.] // Problems of reconstructive and plastic surgery.— 2020. — T. 23. — No. 3 (74). — S. 47–57. — doI 10.17223/1814147/74/05. (In russ.).
6. Baitinger A. V., Cherdantsev D. V., Rybakov V. E. Comparative analysis of the effectiveness of open and endoscopic decompression of the median nerve in primary carpal tunnel syndrome. Questions of reconstructive and plastic surgery. 2019;22(2):71–78. doi 10.17223/1814147/69/09 (In russ.).
7. Utrobičić I., Utrobičić F., Prološčić I., Utrobičić T., Jerić M., Jeličić Kadić A., Puljak L. Postoperative pain Management after Carpal Tunnel Syndrome Surgical Treatment: Comparing practice with guidelines. acta Clin Croat. 2017 Sep;56(3):422–427. doi: 10.20471/acc.2017.56.03.11. pMId: 29479910.
8.
Review
For citations:
Belyakov Y.V., Oleinik E.A., Nazarov A.S., Orlov A.Y. Pain in the postoperative period of surgical treatment of carpal tanal syndrome. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2022;14(2):21-23. (In Russ.)
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