Abstract

In Mexico about million people use health services every year Of this group four million are be hospitalized of hospitalized patients have an obvious surgical etiology have moderate to severe postoperative pain Recovery after surgery is determined by organic dysfunction induced by stress intestinal paralysis cardiopulmonary complications and thromboembolism and fatigue and patients must remain in the hospital until they reach a state of autonomous care Advances in our understanding of pathophysiology and perioperative care suggest that several factors contribute to postoperative morbidity length of hospital stay and convalescence there are accelerated programs of postoperative recovery or rapid surgery which implies a coordinated effort to combine the preoperative education of patients the optimization of resources the attenuation of surgical stress the dynamic relief of pain mobilization and oral feeding minus Acute postoperative pain is a response to surgery and not only do patients go through unnecessary suffering but it is also a cause of delayed discharge and a greater risk of other complications Risk factors for postoperative pain are usually a surgical technique and it is likely that intraoperative nerve injury plays an important role

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