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The Art of Hernia Surgery pp 417–424Cite as

Postoperative Chronic Pain Assessment and THOPA Philosophy

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Abstract

PCP (postoperative chronic pain) was formally defined as a new or different quality of pain (if pain existed before hernia repair) arising as a direct consequence of a nerve lesion or disease affecting the somatosensory system after inguinal hernia repair. The etiology of PCP includes non-neuropathic and neuropathic causes, visceral and somatic pain.

Data about the success of various treatment strategies proposed (surgical and nonsurgical) are poor and inconsistent due to limited information on the demographics, differences in definition and evaluation of pain degree, and limited follow-up.

Here, we propose our Total Hope Pain Solving Approach (THOPA): in this approach, we try to operate “against” all the possible causes of pain in order to improve the patient’s chance to fix his painful symptoms.

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Authors and Affiliations

  1. University of Insubria, Varese, Italy

    Giampiero Campanelli, Piero Giovanni Bruni, Francesca Lombardo & Marta Cavalli

  2. General and Day Surgery Unit, Center of Research and High Specialization for the Pathologies of Abdominal Wall and Surgical Treatment and Repair of Abdominal Hernia, Milano Hernia Center, Istituto Clinico Sant’Ambrogio, Milan, Italy

    Giampiero Campanelli, Piero Giovanni Bruni, Francesca Lombardo & Marta Cavalli

Authors
  1. Giampiero Campanelli
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  2. Piero Giovanni Bruni
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  3. Francesca Lombardo
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  4. Marta Cavalli
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Correspondence to Giampiero Campanelli .

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Editors and Affiliations

  1. University of Insubria, Istituto Clinico, Sant’Ambrogio General Surgery Day Surgery, Milan, Italy

    Giampiero Campanelli

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Campanelli, G., Bruni, P.G., Lombardo, F., Cavalli, M. (2018). Postoperative Chronic Pain Assessment and THOPA Philosophy. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_42

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  • DOI: https://doi.org/10.1007/978-3-319-72626-7_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72624-3

  • Online ISBN: 978-3-319-72626-7

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