Postoperative Pain
Conditions
Keywords
Chronic pain, Hysterectomy, Quality of life
Brief summary
Patients undergone either laparoscopic or vaginal hysterectomy will called for a clinical examination 1-3 years after surgery, if they suffer from pain 6 months after surgery. The aims of the study are: 1. to reveal whether the pain is postsurgical in nature, or if there are any other reasons for the pain. 2. to reveal the type of pain, neuropathic, nociceptive or idiopathic. 3. to reveal the impact of pain on quality of life.
Detailed description
Patients undergone either laparoscopic or vaginal hysterectomy will called for a clinical examination 1-3 years after surgery, if they suffer from pain 6 months after surgery. All patients were treated in Pirkanmaa District Hospital and the anesthesia was either propofol-infusion or sevoflurane gas with remifentanil-infusion. 6months after the surgery, questionnaires about pelvic pain were sent to the patients. Patients still having pain at that time, were invited for detailed sensory and gynecological examinations.
Interventions
None listed
Sponsors
Tampere University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 69 Years
Healthy volunteers
No
Inclusion criteria
* hysterectomy 1-3 years previously * suffering from pain 6months postsurgically
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Type of Chronic Pain After Hysterectomy | 1-3 years after hysterectomy | Number of participants with probable neuropathic, possible neuropathic, pain had subsided and other type of pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life After Hysterectomy | 1-3 years after hysterectomy | Quality of life as measured by the SF-36, which consists of 8 scales. |
| Is the Pain Due to Hysterectomy? | 1-3 years | Number of patients having posthysterectomy pain versus other pain |
Countries
Finland
Participant flow
Recruitment details
January 2012-December 2013. Patients recruited from previous studies. Clinical evaluation at the Hospital on the basis of volunteering.
Participants by arm
| Arm | Count |
|---|---|
| Postoperative Pain Observational study on posthysterectomy pain | 16 |
| Total | 16 |
Baseline characteristics
| Characteristic | Postoperative Pain |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 1 Participants |
| Age, Categorical Between 18 and 65 years | 15 Participants |
| Age, Continuous | 51 Years STANDARD_DEVIATION 6.6 |
| Gender Female | 16 Participants |
| Gender Male | 0 Participants |
| Quality of life (SF-36) Bodily Pain | 65.5 units on a scale STANDARD_DEVIATION 29.2 |
| Quality of life (SF-36) General health | 56.8 units on a scale STANDARD_DEVIATION 20.1 |
| Quality of life (SF-36) Mental health | 70.0 units on a scale STANDARD_DEVIATION 18.2 |
| Quality of life (SF-36) Physical Functioning | 76.9 units on a scale STANDARD_DEVIATION 29.2 |
| Quality of life (SF-36) Role Emotional | 54.1 units on a scale STANDARD_DEVIATION 43.9 |
| Quality of life (SF-36) Role Physical | 57.8 units on a scale STANDARD_DEVIATION 45.7 |
| Quality of life (SF-36) Social Functioning | 70.6 units on a scale STANDARD_DEVIATION 26.8 |
| Quality of life (SF-36) Vitality | 55.3 units on a scale STANDARD_DEVIATION 24.8 |
| Region of Enrollment Finland | 16 participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 |
Outcome results
Primary
Type of Chronic Pain After Hysterectomy
Number of participants with probable neuropathic, possible neuropathic, pain had subsided and other type of pain.
Time frame: 1-3 years after hysterectomy
Population: Women undergone hysterectomy previously and reported having pain at the site of surgery six months after surgery
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Posthysterectomy Pain | Type of Chronic Pain After Hysterectomy | Probable neuropathic pain | 5 participants |
| Posthysterectomy Pain | Type of Chronic Pain After Hysterectomy | Possible neuropathic pain | 4 participants |
| Posthysterectomy Pain | Type of Chronic Pain After Hysterectomy | Subsided pain | 6 participants |
| Posthysterectomy Pain | Type of Chronic Pain After Hysterectomy | Other type of pain | 1 participants |
Secondary
Is the Pain Due to Hysterectomy?
Number of patients having posthysterectomy pain versus other pain
Time frame: 1-3 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Posthysterectomy Pain | Is the Pain Due to Hysterectomy? | 15 participants |
Secondary
Quality of Life After Hysterectomy
Quality of life as measured by the SF-36, which consists of 8 scales.
Time frame: 1-3 years after hysterectomy