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Shevtsova G.E.

Sechenov First Moscow State Medical University

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Treatment of acute postoperative pain and prevention of chronic postoperative pain syndrome

Authors:

Shevtsova G.E., Medvedeva L.A., Zagorulko O.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(12): 81‑86

DOI: 10.17116/hirurgia202412181

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Table of contents

TREATMENT OF ACUTE POSTOPERATIVE PAIN AND PREVENTION OF CHRONIC POSTOPERATIVE PAIN SYNDROME
TREATMENT OF ACUTE POSTOPERATIVE PAIN AND PREVENTION OF CHRONIC POSTOPERATIVE PAIN SYNDROME

To cite this article:

Shevtsova GE, Medvedeva LA, Zagorulko OI. Treatment of acute postoperative pain and prevention of chronic postoperative pain syndrome. Pirogov Russian Journal of Surgery. 2024;(12):81‑86. (In Russ.)
https://doi.org/10.17116/hirurgia202412181

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To analyze the effectiveness of cognitive-behavioral therapy (CBT) combined with pharmacotherapy for treatment and prevention postoperative pain syndrome.

MATERIAL AND METHODS

The study included 62 patients after cardiac surgery. In the main group (n=31), patients underwent standard therapy combined with CBT including cognitive restructuring, behavioral activation and exposure therapy.

RESULTS

After 3 months, pain intensity, anxiety, depression and pain catastrophizing were significantly lower in the main group. Incidence of chronic pain was significantly lower in the same group.

CONCLUSION

Integration of psychotherapeutic methods into treatment of postoperative pain syndrome is an effective strategy improving postoperative outcomes and reducing the risk of chronic pain.

Keywords:

postoperative pain syndrome
cognitive-behavioral therapy
psychotherapeutic methods
pharmacotherapy
chronic pain

Authors:

Shevtsova G.E.

Sechenov First Moscow State Medical University

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Received:

10.09.2024

Accepted:

12.10.2024

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