In this issue of the Scandinavian Journal of Pain, Satu Pokki-nen and coworkers report from a small prospective observational study of patients examined median 30 months after laparoscopic and vaginal hysterectomy for benign conditions in two hospitals in Tampere, Finland . The authors included patients who previously had participated in a questionnaire study, where as many as 26% of the responders (59 out of 227) reported pelvic pain 6 months after surgery . Those reporting pain were further invited to participate in this clinical follow-up study. However, only 16 patients were willing to be included.The reported post-operative clinical assessment included a gynaecological examination and a sensory examination performed by two different physicians. The gynaecological examination included inspection of the vulva and vagina, as well as a bimanual palpation of the pelvic area. The sensory examination of the lower abdomen/groin and the vulvar/perineal area was then performed by an anaesthesiologist specialised in pain medicine. A cotton stick was first used for assessing dysfunction in the low-threshold mechanoreceptor system (touch). Furthermore, the nociceptors/thermoreceptor system were tested using a special thermal roller instrument, as well as a pin prick with a wooden tooth pick. In each case, the patient was asked to
Scandinavian Journal of Pain – de Gruyter
Published: Dec 29, 2017
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