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A-0237 Neuropathic pain after repair of brachial plexus injury : a 30-year follow-up of the Narakas' series
Swenn Maxence Krähenbühl, Chantal Bonnard, Laurent Wehrli, Lausanne University Hospital, Lausanne, Switzerland
Friday, June 15, 2018 · 2:29 p.m. · 05m 57s
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00:00:00
they're moderators it's a pleasure to talk about no but the pain after repair a bracket bracket texas injuries
00:00:07
it's actually a thirty four up from the night guess series what was the literature texts on the subject well
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of course as you all know there's some functional limitation as a motor and sensory deficits
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but what should not be underestimated is a social constraints
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moreover and the most important i think is a never plastic paint
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it can have major symptoms as deceptive pain in virginia c. o. p. s. nancy meticulous and
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it has been reported to be as high as ninety five percent on the series
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but what about the impact on the quality of life of such vision and what is
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the evolution among time of such as well um we did a retrospective study
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based on the five hundred and twenty three adult patients that were operated by process
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analogous which into a sixties and nineties at a remote like unique innocent
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we just got the depletion living abroad and then in the end we could
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reach a and get to you can sense after forty five patients
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that the uh came for clinical examinations and that questionnaires
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well first the outcomes we looked at were primarily the narcotic pain
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and its impact on quality of life and then we'll look
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for a disability and satisfaction level of such patients
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well to assess these uh uh as you all know we used uh
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one i think it's uh the most valuable one it's that n. p.
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s. i. question at then no i think main symptom intent to
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which is gives us good information on different kind of pain such as shooting provoked and cochran pain
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then we use the s. f. twelve and questionnaire was which is uh quite short one
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that gives us a an overview of the mental physical and overall quality of life of patients
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then for the visibility of the open them we use apple and and a question and then
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uh satisfaction scale classical so as said before we had
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forty for a forty five patients forty one may
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data truman was twenty when he is the time to surgery was at
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a five months and the mean follow that you won he is
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we could uh classified to uh justify the patient among different categories
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such as yeah so practical uh or infrared regular other options and a complete lexus
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the complete lexus meaning a c. five to would you want a roots
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we couldn't sort the data according to the technique because there was too many different
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technique used and they would have been too little patients in each group
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while uh analysing to that uh uh off and never
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perfect pain according to the group's mentioned before
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we found that a complete lesion having a significant link with
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n. p. assign particularly for background breakthrough and total pain
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and while going more into the g. t. a.
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is analysing routes uh uh especially specifically we
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so that uh c. a. d. one roots at the same link with no cutting pain
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so we just um conclude that uh there's a traits impact of c. a. d.
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one roots in the back to genesis of such pain such long term k.
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while i'm looking at a quality of life and pain you'd say it's logical but yes
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it is uh we found a linear correlation between uh the quality of life
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uh yes i mean the impact on the quality of life which is s. f. twelve and the n. p.
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s. i. so logically the i guess the pay integrated is the impact on the quality of life
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when looking at others allegiance it's has already been published and
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in different papers but there is this significant uh uh
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it is significantly more painful and a disabling and other lesions
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while looking at the long term evolution of such pain while lot
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it's still an issue searches later for almost two thirds of the patient
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even more any tend to be stable of the years with a slight
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increase it goes for shooting pain and background bank as well
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well take a message of uh this talk is that
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you should be aware that patient was c. eighty one routes uh evolution have
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and i mean a less good prognosis and may have long to know plastic okay
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and they need to be an issue for the majority of the patient even if they've been operated on it
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despite this uh it's important to say that seventy four percent of the patient
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would undergo the same surgery again but only if it's the same surgeon
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thank you for your attention how
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it is
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uh_huh yours or sex or age
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actually
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we couldn't find an explanation of these we wanted to create
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a or a prospective randomised study but we're so
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there's not many cases in switzerland so it's hard to explain i don't have an explanation for this
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