Postoperative surgical complications after radical axillary lymph node dissection in melanoma disease result in increased pain.
Identifieur interne : 012A66 ( Main/Exploration ); précédent : 012A65; suivant : 012A67Postoperative surgical complications after radical axillary lymph node dissection in melanoma disease result in increased pain.
Auteurs : Heiko Neuss [Allemagne] ; Christian Reetz ; Wieland Raue ; Gerold Koplin ; Julian W. MallSource :
- International surgery [ 0020-8868 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications postopératoires (épidémiologie), Douleur postopératoire (épidémiologie), Femelle, Fistule (épidémiologie), Humains, Lymphadénectomie (), Lymphoedème (épidémiologie), Maladies lymphatiques (épidémiologie), Mesure de la douleur, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
English descriptors
- KwdEn :
- MESH :
- epidemiology : Fistula, Lymphatic Diseases, Lymphedema, Pain, Postoperative, Postoperative Complications.
- methods : Lymph Node Excision.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pain Measurement.
Abstract
Postoperative pain is one of the major problems caused by the operative trauma. We recorded the postoperative pain of patients who underwent a radical axillary lymph node dissection (RALND) to evaluate the quality of our standardized perioperative pain management program and the influence of surgical complications. Between August 2003 and December 2007, we registered the postoperative level of pain of 111 patients who underwent a therapeutic RALND, using a visual analog scale (VAS). Patients received standardized perioperative pain therapy according to level I of the World Health Organization (WHO) ladder of pain. We registered a VAS score of 10 in patients at rest during the first 3 postoperative days, but after mobilization of the arm, patients had significantly more pain (P < 0.0001). Patients with a postoperative surgical complication needed significantly more central analgesia to reach the same level of pain (P = 0.04) as patients without complication. Level I of the WHO ladder of pain is not enough for patients after an RALND. Patients with a postoperative complication do have increased pain, and use of only peripheral analgesia is insufficient.
PubMed: 20718325
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002962
- to stream PubMed, to step Curation: 002962
- to stream PubMed, to step Checkpoint: 002962
- to stream Ncbi, to step Merge: 003D10
- to stream Ncbi, to step Curation: 003D10
- to stream Ncbi, to step Checkpoint: 003D10
- to stream Main, to step Merge: 013C82
- to stream Main, to step Curation: 012A66
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Postoperative surgical complications after radical axillary lymph node dissection in melanoma disease result in increased pain.</title><author><name sortKey="Neuss, Heiko" sort="Neuss, Heiko" uniqKey="Neuss H" first="Heiko" last="Neuss">Heiko Neuss</name><affiliation wicri:level="3"><nlm:affiliation>Department of General, Visceral, Thoracic and Vascular Surgery, Medical Faculty of the Humboldt University, Berlin, Charitè, Universitaetsmedizin Berlin, Charitè, Campus Mitte, Berlin, Germany. heiko.neuss@charite.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of General, Visceral, Thoracic and Vascular Surgery, Medical Faculty of the Humboldt University, Berlin, Charitè, Universitaetsmedizin Berlin, Charitè, Campus Mitte, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Reetz, Christian" sort="Reetz, Christian" uniqKey="Reetz C" first="Christian" last="Reetz">Christian Reetz</name></author><author><name sortKey="Raue, Wieland" sort="Raue, Wieland" uniqKey="Raue W" first="Wieland" last="Raue">Wieland Raue</name></author><author><name sortKey="Koplin, Gerold" sort="Koplin, Gerold" uniqKey="Koplin G" first="Gerold" last="Koplin">Gerold Koplin</name></author><author><name sortKey="Mall, Julian W" sort="Mall, Julian W" uniqKey="Mall J" first="Julian W" last="Mall">Julian W. Mall</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2010 Apr-Jun</MedlineDate></PubDate></date><idno type="RBID">pubmed:20718325</idno><idno type="pmid">20718325</idno><idno type="wicri:Area/PubMed/Corpus">002962</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002962</idno><idno type="wicri:Area/PubMed/Curation">002962</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002962</idno><idno type="wicri:Area/PubMed/Checkpoint">002962</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002962</idno><idno type="wicri:Area/Ncbi/Merge">003D10</idno><idno type="wicri:Area/Ncbi/Curation">003D10</idno><idno type="wicri:Area/Ncbi/Checkpoint">003D10</idno><idno type="wicri:doubleKey">0020-8868::Neuss H:postoperative:surgical:complications</idno><idno type="wicri:Area/Main/Merge">013C82</idno><idno type="wicri:Area/Main/Curation">012A66</idno><idno type="wicri:Area/Main/Exploration">012A66</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Postoperative surgical complications after radical axillary lymph node dissection in melanoma disease result in increased pain.</title><author><name sortKey="Neuss, Heiko" sort="Neuss, Heiko" uniqKey="Neuss H" first="Heiko" last="Neuss">Heiko Neuss</name><affiliation wicri:level="3"><nlm:affiliation>Department of General, Visceral, Thoracic and Vascular Surgery, Medical Faculty of the Humboldt University, Berlin, Charitè, Universitaetsmedizin Berlin, Charitè, Campus Mitte, Berlin, Germany. heiko.neuss@charite.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of General, Visceral, Thoracic and Vascular Surgery, Medical Faculty of the Humboldt University, Berlin, Charitè, Universitaetsmedizin Berlin, Charitè, Campus Mitte, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Reetz, Christian" sort="Reetz, Christian" uniqKey="Reetz C" first="Christian" last="Reetz">Christian Reetz</name></author><author><name sortKey="Raue, Wieland" sort="Raue, Wieland" uniqKey="Raue W" first="Wieland" last="Raue">Wieland Raue</name></author><author><name sortKey="Koplin, Gerold" sort="Koplin, Gerold" uniqKey="Koplin G" first="Gerold" last="Koplin">Gerold Koplin</name></author><author><name sortKey="Mall, Julian W" sort="Mall, Julian W" uniqKey="Mall J" first="Julian W" last="Mall">Julian W. Mall</name></author></analytic><series><title level="j">International surgery</title><idno type="ISSN">0020-8868</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Fistula (epidemiology)</term><term>Humans</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Diseases (epidemiology)</term><term>Lymphedema (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term><term>Pain, Postoperative (epidemiology)</term><term>Postoperative Complications (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires (épidémiologie)</term><term>Douleur postopératoire (épidémiologie)</term><term>Femelle</term><term>Fistule (épidémiologie)</term><term>Humains</term><term>Lymphadénectomie ()</term><term>Lymphoedème (épidémiologie)</term><term>Maladies lymphatiques (épidémiologie)</term><term>Mesure de la douleur</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Fistula</term><term>Lymphatic Diseases</term><term>Lymphedema</term><term>Pain, Postoperative</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Douleur postopératoire</term><term>Fistule</term><term>Lymphoedème</term><term>Maladies lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Pain Measurement</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Mesure de la douleur</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postoperative pain is one of the major problems caused by the operative trauma. We recorded the postoperative pain of patients who underwent a radical axillary lymph node dissection (RALND) to evaluate the quality of our standardized perioperative pain management program and the influence of surgical complications. Between August 2003 and December 2007, we registered the postoperative level of pain of 111 patients who underwent a therapeutic RALND, using a visual analog scale (VAS). Patients received standardized perioperative pain therapy according to level I of the World Health Organization (WHO) ladder of pain. We registered a VAS score of 10 in patients at rest during the first 3 postoperative days, but after mobilization of the arm, patients had significantly more pain (P < 0.0001). Patients with a postoperative surgical complication needed significantly more central analgesia to reach the same level of pain (P = 0.04) as patients without complication. Level I of the WHO ladder of pain is not enough for patients after an RALND. Patients with a postoperative complication do have increased pain, and use of only peripheral analgesia is insufficient.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><noCountry><name sortKey="Koplin, Gerold" sort="Koplin, Gerold" uniqKey="Koplin G" first="Gerold" last="Koplin">Gerold Koplin</name><name sortKey="Mall, Julian W" sort="Mall, Julian W" uniqKey="Mall J" first="Julian W" last="Mall">Julian W. Mall</name><name sortKey="Raue, Wieland" sort="Raue, Wieland" uniqKey="Raue W" first="Wieland" last="Raue">Wieland Raue</name><name sortKey="Reetz, Christian" sort="Reetz, Christian" uniqKey="Reetz C" first="Christian" last="Reetz">Christian Reetz</name></noCountry><country name="Allemagne"><region name="Berlin"><name sortKey="Neuss, Heiko" sort="Neuss, Heiko" uniqKey="Neuss H" first="Heiko" last="Neuss">Heiko Neuss</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 012A66 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 012A66 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:20718325
|texte= Postoperative surgical complications after radical axillary lymph node dissection in melanoma disease result in increased pain.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:20718325" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |