Chronic Post-operative Pain
Conditions
Keywords
surgical pain, chronic pain, prevention, palmitoylethanolamide
Brief summary
Postsurgical pain becomes chronic when it lasts more then two months after surgery. A neurogenic or neuropathic pathogenesis is hypothesized for this event that reaches high rates after urologic and gynecologic surgeries. Palmitoylethanolamide (PEA) binds to mast cells and regulates pro-inflammatory factors release, without adverse events. The investigators assume that perioperative administration of PEA can reduce chronic postsurgical pain incidence of patients undergoing to urologic and gynecologic elective surgery.
Interventions
Before surgery: 600 mg cp twice a day After surgery: 600 mg microgranules twice a day for 10 days then 600 mg cps once a day for 20 days
Before surgery: 1 sugar pill twice a day for 8 days After surgery: 1 sugar microgranules twice a day for 10 days then 1 sugar pill once a day for 20 days
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing elective gynecological or urological surgical procedures
Exclusion criteria
* age \< 18 * pregnancy or nursing * pre-existing chronic pain * severe hepatic or renal failure * post-operative progression of local cancer disease * post-operative infection or inflammation of surgical wound
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of chronic post-surgical pain | 2 months after surgery | Assessment of pain persisting in surgical site after uncomplicated postoperative healing. Assessment of skin hyperalgesia about the surgical wound. |
Countries
Italy