Management of chronic postsurgical pain following cholecystectomy
A 50-year-old female presented with severe pain at the cholecystectomy scar site of 4 months' duration. She had an open cholecystectomy done followed by continuous pain from the time of discharge. She was diagnosed as a case of chronic postsurgical pain (CPSP) syndrome. We administered right-si...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=3;spage=187;epage=189;aulast=Srinivasan |
| _version_ | 1818131677498572800 |
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| author | Parthasarathy Srinivasan Gobinath Jayaraman |
| author_facet | Parthasarathy Srinivasan Gobinath Jayaraman |
| author_sort | Parthasarathy Srinivasan |
| collection | DOAJ |
| description | A 50-year-old female presented with severe pain at the cholecystectomy scar site of 4 months' duration. She had an open cholecystectomy done followed by continuous pain from the time of discharge. She was diagnosed as a case of chronic postsurgical pain (CPSP) syndrome. We administered right-sided erector spinae (ES) block by ultrasound guidance depositing 15 ml of 0.25% bupivacaine and 40 mg of methylprednisolone at site of incision. The visual analog score showed significant improvement from 7/10 to 2/10 for the next 2 months of follow-up. We conclude that ultrasonography-guided ES block combined with intralesional steroid is a viable treatment option in cases of CPSP. This is possibly the first case report of postcholecystectomy chronic pain managed with ES block. |
| first_indexed | 2024-12-11T08:24:44Z |
| format | Article |
| id | doaj.art-ed47d3b723d8468292e8df9580202021 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-12-11T08:24:44Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-ed47d3b723d8468292e8df95802020212022-12-22T01:14:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332018-01-0132318718910.4103/ijpn.ijpn_36_18Management of chronic postsurgical pain following cholecystectomyParthasarathy SrinivasanGobinath JayaramanA 50-year-old female presented with severe pain at the cholecystectomy scar site of 4 months' duration. She had an open cholecystectomy done followed by continuous pain from the time of discharge. She was diagnosed as a case of chronic postsurgical pain (CPSP) syndrome. We administered right-sided erector spinae (ES) block by ultrasound guidance depositing 15 ml of 0.25% bupivacaine and 40 mg of methylprednisolone at site of incision. The visual analog score showed significant improvement from 7/10 to 2/10 for the next 2 months of follow-up. We conclude that ultrasonography-guided ES block combined with intralesional steroid is a viable treatment option in cases of CPSP. This is possibly the first case report of postcholecystectomy chronic pain managed with ES block.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=3;spage=187;epage=189;aulast=SrinivasanChronic painerector spinaeplane blockpostoperative |
| spellingShingle | Parthasarathy Srinivasan Gobinath Jayaraman Management of chronic postsurgical pain following cholecystectomy Indian Journal of Pain Chronic pain erector spinae plane block postoperative |
| title | Management of chronic postsurgical pain following cholecystectomy |
| title_full | Management of chronic postsurgical pain following cholecystectomy |
| title_fullStr | Management of chronic postsurgical pain following cholecystectomy |
| title_full_unstemmed | Management of chronic postsurgical pain following cholecystectomy |
| title_short | Management of chronic postsurgical pain following cholecystectomy |
| title_sort | management of chronic postsurgical pain following cholecystectomy |
| topic | Chronic pain erector spinae plane block postoperative |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=3;spage=187;epage=189;aulast=Srinivasan |
| work_keys_str_mv | AT parthasarathysrinivasan managementofchronicpostsurgicalpainfollowingcholecystectomy AT gobinathjayaraman managementofchronicpostsurgicalpainfollowingcholecystectomy |