Interventional Pain Management in Trauma: Bridging Acute Injury, Critical Care and Chronic Pain | Chapter 7 | An Overview of Disease and Health Research Vol. 9

Interventional Pain Management (IPM) has emerged as an integral component of modern trauma anaesthesia, particularly in the care of patients with neurotrauma. Traumatic injuries to the nervous system are frequently associated with complex pain syndromes that extend beyond the acute phase and may progress to chronic, function-limiting pain. Reliance on systemic pharmacological therapy alone is often insufficient and may adversely affect neurological assessment, haemodynamic stability, and long-term functional outcomes. This chapter examines the role of IPM across the continuum of neurotrauma and trauma care, including the acute perioperative period, intensive care management, rehabilitation, and chronic pain treatment. Emphasis is placed on the neurobiological mechanisms of trauma-related pain, rational selection of interventional techniques, and safety considerations unique to neurologically vulnerable and critically injured patients. Integration of IPM within a multidisciplinary trauma care framework is presented as a key strategy to enhance patient outcomes and quality of life.

 

 

Author(s) Details

Sony Sony
All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

 

Shivam Shekhar
All India Institute of Medical Sciences, Deoghar, Jharkhand, India.

 

Please see the book here :- https://doi.org/10.9734/bpi/aodhr/v9/7033

Recent Developments in Open Mesh-Based Inguinal Hernia Repair: A Review | Chapter 6 | Medical Science: Recent Advances and Applications Vol. 12

Open mesh-based techniques have emerged as the leading approach for inguinal hernia repair, replacing traditional suture-based methods. Among these techniques, the Lichtenstein repair is the most utilised due to its short learning curve and its feasibility under local anaesthesia. Irving Lichtenstein introduced this tension-free repair in 1984, whereby after reduction of the hernia and ligation of the sac, a mesh was inserted and reinforced on the posterior wall of the inguinal canal, and it was fixed to the inguinal ligament and conjoint tendon with nonabsorbable sutures and under no tension. This method is associated with reduced postoperative morbidity and exhibits the lowest recurrence rate. Other open mesh-based techniques include the Plug and Patch repair and the Prolene hernia system, both of which are viable options for open inguinal hernia repair. This review explores the Lichtenstein repair, the Plug and Patch repair, and the Prolene hernia system, with a focus on their indications and potential complications. Furthermore, a comparative analysis of these procedures was conducted concerning their postoperative complications and recurrence rates.

 

Author(s) Details

Kumar H.R.
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

 

Please see the book here :- https://doi.org/10.9734/bpi/msraa/v12/6402

Open Inguinal Hernia Repair in Adults: An Update | Chapter 10 | Medicine and Medical Research: New Perspectives Vol. 11

In this study, we look at the various types of open inguinal hernia repair that include tension-free and suture-based repairs. We also look at chronic pain after open inguinal hernia repairs. The open inguinal hernia repairs can be divided into tissue repair and mesh repair. Among the tissue repairs, the Shouldice repair is the most common repair that is performed, with the Bassini repair and Darning method being rarely performed. Mesh-based repairs are the most popular open inguinal hernia repair with the Lichtenstein repair the most common procedure that is performed. Several technical modifications have been done for the Lichtenstein repair which include using a larger mesh size, using interrupted sutures to anchor the mesh to the aponeurosis of the internal oblique muscle and greater overlap of the mesh over the pubic symphysis. The sutured-based repairs are not commonly performed with the Shouldice repair being the most performed, but the Desarda repair is slowly emerging as a viable sutured-based repair. We have conducted this review article to look at the current state of the various types of repairs for open inguinal hernia repair including their complications and recurrence rate. We also looked at the effect of chronic pain in open inguinal hernia repair. Open inguinal hernia repairs will continue to be one of the most common operations that are performed worldwide, and it will retain its place in the surgical treatment of inguinal hernias despite the introduction of laparoscopic inguinal hernia repair.

 

Author (s) Details

Kumar H.R.
Taylors University School of Medicine and Health Science, 47500 Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/mmrnp/v11/2766

Pain: A Disease in Its Own Right | Chapter 9 | Disease and Health: Research Developments Vol. 3

Pain is a subjective perception and is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Acute Pain and Chronic Pain are the two types of pain categorized based on duration and aetiology. Acute Pain is self-limiting, indicates tissue injury, and lasts less than 30 days, whereas chronic Pain is multifactorial, progressive and associated with disability and vegetative responses and lasts longer than three months. Nociceptive pain is due to tissue injury; and the pain signalling pathway remain intact, whereas neuropathic pain is due to nerve injury and pain arises as a direct consequence of a lesion or disease affecting the somatosensory system. According to recent data from IASP and EFIC, one in five people have moderate to severe chronic pain, and one in three find it more difficult or impossible to lead an independent life as a result of their pain. Understanding whether pain is a symptom or a disease helps healthcare providers diagnose and treat the root cause effectively. It's essential for individuals experiencing pain to seek medical advice for proper evaluation and management.

 

Author (s) Details

 

Sanjay Piplani
Department of Pathology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.

 

Monika Lalit
Department of Anatomy, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.

 

Niharika Piplani
Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrd/v3/3852

Psychometric Evaluation of Self-Efficacy for Pain & Disability among Chronic Pain Patients | Chapter 6 | New Advances in Medicine and Medical Science Vol. 5

 The basic goal of this paper search out highlight the importance of utilizing SE to treat chronic pain and deterioration. Recent research indicates that coping systems play a significant role in never-ending pain adaptation. Pain is often emotional in that each person learns to ask the word through welcome or her own experience. Self-efficacy (SE), a subjective concept defined all at once's confidence in carrying out a distinguishing activity, is devoted to recommended medications, in addition to pain coping mechanisms in things who have chronic pain. Varieties of tangible and psychological causes are believed to bring about increased impairment in inmates with incessant pain. Pain severity is correlated accompanying physical activity and shown to have a gloomy association with breaking promise to work in patients accompanying chronic lower back pain. In women with knee OA (KOA), a rise depressed frequency and intensity and a obey the rules self-efficacy (SE) for baseline working activities predicted a two-period decline in walking effectiveness. The SE of the lower baseline also concluded reduced stair crawling efficiency. SE beliefs are a meaningful determinant of coping tendencies. This article reviews the belief of SE, the importance of application of SE in considering chronic pain & disability.

Author(s) Details:

Saikripa Raman,
Department of Physiotherapy, Chandigarh University, Mohali, India.

Priyanshu Sharma,
Department of Physiotherapy, Chandigarh University, Mohali, India.

Please see the link here: https://stm.bookpi.org/NAMMS-V5/article/view/10865

Chronic Pain after Lichtenstein Inguinal Hernia Repair | Chapter 1 | Research Developments in Medicine and Medical Science Vol. 2

 This stage aims to determine the predominance of chronic pain following Lichtenstein inguinal break repair and risk factors for pain development.The study contained 347 patients accompanying primary concerned with one side inguinal hernia sustained Lichtenstein repair. Studies were done on sure preoperative, perioperative, and postoperative dossier. Patients were examined for inguinal pain after individual week following break repair (early postoperative pain), they were also examined 1 and 3 months, 1, 2 and 3 age following the surgery.26 subjects' records were lost throughout the remark. Following the surgical procedure, 321 things had examinations over the course of three years. One temporal length of event or entity's existence later of the  surgery 201 victims (62.6%) were experiencing  inguinal pain of various intensity, individual month later pain was experienced by 102 cases (31.8%), 3 months later - by 57 patients (17.8%), 1 period later - by 34 patients (10.6%), 2 old age later - by 27 patients (8.4%) and 3 old age later – by 25 patients (7.8%). Chronic examination inguinal pain (CPIP) development is correlated accompanying following factors: pre-active pain (P<0.001), young age (P=0.04) and moderate and severe early medical checkup pain (P<0.001). CPIP was not related to the following determinants: occupation rank, BMI, tobacco, hernia side, split type, operation occasion and anesthesia type. Risk determinants for chronic examination inguinal pain following Lichtenstein inguinal hernia repair are: preoperative pain, young age and moderate and harsh early postoperative pain.

Author(s) Details:

Zaza Demetrashvili,
Surgery Department, Tbilisi State Medical University, Georgia and Kipshidze Central University Hospital, Tbilisi, Georgia.

Eka Ekaladze,
Department of Biochemistry, Tbilisi State Medical University, Georgia.

Please see the link here: https://stm.bookpi.org/RDMMS-V2/article/view/9952