Transitional pain service in surgery as an optimal strategy for the treatment and prevention of chronic postoperative pain

The problem of chronic postoperative pain (CPP) has remained relevant over the past decades, despite the active development of anesthesiology and surgery. Existing approaches to the treatment of acute postoperative pain do not provide effective prevention of CPP. The analysis of the results of studies on this problem was carried out. It was shown that the introduction of an interdisciplinary transitional pain service in surgery allows to increase the effectiveness of prevention and treatment of CPP, accompanying patients with high risks of pain chronization at each stage of surgical treatment (surgery planning, perioperative and outpatient, after discharge up to full recovery after surgery). The interdisciplinary nature of the transitional pain service in surgery ensures the timeliness and multimodality of the pain treatment methods used. It can be concluded that the development of a transitional pain service is an optimal strategy for the prevention and treatment of CPP.