Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen)

Reminder

Description

Open abdominal surgery includes different routes dictated by the underlying surgery to be performed. The neuropathic pains induced by these surgeries are mostly pains related to the abdominal wall but they are not recognized as such. Here are different approaches and the potentially observed neuropathic painful areas:

  • Right and left iliac fossa surgery (inguinal hernia, appendectomy, stoma or stoma closure)

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

It should be noted that associated with these pains, a gene for active flexion of the hip or erectile dysfunction in men, vulvar pain and pain in the first third of the vagina are described.

  • Pfannenstiel-type horizontal suprapubic surgery

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

These pains, located above the pubis, can be associated with urinary disorders such as bladder instability and/or bladder burns, urethral burns.

  • Subumbilical laparotomy surgery

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

These pains, located above the pubis, can be associated with urinary disorders such as bladder instability and/or bladder burns, urethral burns.

  • Supraumbilical laparotomy surgery

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

In some cases, gastroparesis and/or stubborn constipation may appear in this type of pain

  • Surgery of the right and left hypochondrium

Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)
Open abdominal surgery (Stomach, small intestine, colon, gallbladder, pancreas, liver, spleen, etc.)

In some cases gastroparesis and/or stubborn constipation may appear in this type of pain

Whatever the first approach to use, the clinical examination with rolled palpation of the scarred area will highlight the origin of the pain with reproduction of the pain.

Clinical case(s)

Treatment

Post operative chronic pain