Abstract:
Background: Chronic pain is a well-known adverse effect of surgery and apparently, its risk increases with increasing number of surgeries. However, the risk of such a long term pain morbidity specifically after Pfannenstiel incision, which is used in most of the obstetrics and gynecological surgery, is less established. Objective: To identify the prevalence of the long term pain morbidity in women after Pfannenstiel incision. Methodology: This descriptive study was conducted at Gulab Devi teaching hospital Lahore from June 2018 to October 2018. Two
hundred and fifty women having Pfannenstiel incision for caesarean section, total abdominal hysterectomy or laparotomy, were asked
to fill in a questionnaire to evaluate the pain in the Pfannenstiel region. Results: Almost 98% responded to the questionnaire (n=245 out of 250 women). A significant number (23%) of women complained of
long-standing pain at the site of the incision. Though only a few of them went through moderate or severe pain which marred their daily activities. Conclusion: The Pfannenstiel surgery either for emergency caesarean sections or elective obstetric and gynecological procedures is a primal indicator of long term pain and discomfort. A doctor’s anticipation and recognition of this phenomenon would be the pivotal
factor in improving future surgical practices.
Page(s):
101-104
DOI:
DOI not available
Published:
Journal: Journal of Society of Obstetricians and gynaecologists of Pakistan, Volume: 9, Issue: 2, Year: 2019