Akademik Veri Yönetim Sistemi
VII. Balkan Anestezi Günleri Balkan States Anesthesia Days VII - Innovations in Anesthesia Intensive Care and Pain During COVİD-19 Pandemic Era, Ankara, Türkiye, 30 Nisan - 02 Mayıs 2021, ss.310, (Özet Bildiri)
Background and Goal of Study / Background: Postoperative chronic persistant pain (PCPP) is an important condition which is difficult to treat, impairing health quality of individuals following surgery and creating a burden to health system. PPCP is multifactorial and for successful treatment of PCPP it is important to determine the predisposing factors and to plan an individualized preoperative management strategy according to the type of surgery. Postoperative chronic pain is most commonly observed following inguinal hernia, arthroplasty, amputation and abdominal surgeries(1). In the current study, we aimed to evaluate chronic pain in patients who had undergone lower extremity amputation.
Materials and Methods: After obtaining ethical approval, the hospital records of patients who had undergone lower extremity amputation between 2018-2020 were reached and the patients who had developed chronic pain were included to the current retrospective study.
Results and Discussion / Discussion: Among 100 patients undergoing lower extremity amputation, chronic pain was present in 40 patients. Among patients with chronic pain, 13 patients have undergone finger amputation, 8 patients have undergone forefoot and ankle amputation and 19 have undergone below knee amputation. F/M ratio was 7/33. The mean age was 59,875±15,85, the mean body weight was 76,35±15,85 and the mean height was 170,375±8,03. Diabetes mellitus was present in 5 patients undergoing finger amputation, in 3 patients undergoing forefoot and ankle amputation and 7 patients undergoing below knee amputation. Peripheric artery disease was present in 4 patients undergoing finger amputation, in 4 patients undergoing forefoot and ankle amputation and 8 patients undergoing below knee amputation.Both diabetes mellitus and peripheric artery disease was present in 4 patients undergoing finger amputation, in 1 patients undergoing forefoot and ankle amputation and 4 patients undergoing below knee amputation.
Conclusion(s): Diabetes mellitus, peripheric artery disease and male gender may be predisposing factors for developing chronic pain following lower extremity amputation.
References: 1. Kern U, Busch V, Muller R, et al. Phantom limb pain in daily practice – still a lot of work to do! Pain Med 2012;
13(12): 1611–1626.