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- Title
PAIN PATHWAYS; TYPES OF PAIN AND PAIN SYNDROMES IN MAJOR THORACO-ABDOMINAL NEOPLAZIC SURGERY.
- Authors
Diaconescu, B.; Pavelescu, Daniela; Lupu, G.; Paduraru, M.; Beuran, M.
- Abstract
according to WHO, cancer is the leading cause of death in the world, with a contribution of over 7,4 million deaths per year (approximately 13% of all deaths in 2009). Surgery is the oldest form of cancer treatment; it has a central role in the diagnosing and staging process, offering the best cure for many types of cancer. Despite numerous medical and technological advances, postsurgical pain is often undertreated. The different types of pain include: somatic, visceral, inflammatory, neuropathic, psyhogenic and idiopathic pain. An understanding of the physiology and complex, multifaceted nature of neoplastic and surgical pain, is necessary to identify optimal treatment plan, which often involves multiple therapeutic modalities. Pain, as an initial symptom, appears in 20-40% of cases, and as an early symptom in cancer appears to 40-50% of patients with breast/ovary/prostate/colon/rectum cancer and in 20% of female patients with uterine and cervix cancer. A percentage of 65-85% patients with cancer endure pain in the terminal stages; severe pain exists in 20-35% of patients with cancer and this interferes with their daily activities, and 36% have severe pain which results in disability. There is a large amount of pain types in major neoplastic surgery, with physiopathological mechanisms and distinct transmission paths; each one of these types requires specific therapeutic procedures, based on a certain mechanism, whose final purpose is the maximization of the patient's benefit, in terms of rehabilitation regarding the quality of life and early social involvement. Pain is defined as an unpleasant sense and emotional experience which we can associate with tissue lesions or described as a lesion. The perception of pain involves a combination of sense responses along with affective and cognitive responses, described through complex cortical interactions and integrations of information originating in the damaged tissue.
- Subjects
ABDOMINAL cancer; CANCER treatment; ONCOLOGIC surgery; CANCER patient rehabilitation; SURGICAL complications; PAIN management; MEDICAL rehabilitation
- Publication
Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology / Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie, 2011, Vol 10, Issue 4, p542
- ISSN
1583-4026
- Publication type
Article