Factores asociados a la percepción de dolor pre y postoperatorio en pacientes llevados a Varicectomía de miembros inferiores en una institución en Bogotá
Thesis
Introduction Chronic venous insufficiency has a high incidence in adults, especially women, pain is a characteristic symptom, even after surgery. It is necessary to identify factors associated with pain in patients with chronic venous insufficiency before and after management with varicectomy. Methods Retrospective observational study that evaluates the analogous visual pain scale of patients with chronic venous insufficiency before and after intervention in a Bogota hospital. The scores were analyzed based on the difference between clinical, sociodemographic and surgical factors. The Kruskal Wallis test and the Spearman correlation coefficient were used for the analysis. Results 307 patients with CEAP II and III classification were included, 66% were women and the average age was 47 years. Consultation for lymphangitis was associated with greater preoperative pain (p<0.001) and greater frequency of complications and reoperation (p=0.005, p<0.001) post-surgery. The highest postoperative pain scores and the greatest difference were consulted due to a history of thrombosis (p=0.001), surgery and previous treatment were associated with a lower postoperative pain (p<0.05), the improvement in pain was low in the reoperated patients (p=0.007). Women are likely to increase pain (p=0.05) and those with comorbidities to reduce pain (p=0.012). Conclusions There are few objective elements to determine the degree of pain associated with chronic venous insufficiency, surgery could be an option in those with greater pain, however, more studies are required.
