Adding insult to injury – exploring painful recovery from surgery and trauma


Friday 26 October 2018


Venue Royal Society of Medicine
1 Wimpole Street
Organised by

Pain Medicine Section


6 CPD Points

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about this event

Increasing numbers of patients undergo surgery every year and yet up to a quarter of these individuals remain in pain for many months after their incisions have healed.

This meeting will take a unique look at the causes and preventive strategies for persistent pain following surgery or trauma.

Experts in medicine and law will explore approaches that we can all take to prepare patients and reduce the impact of this phenomenon.

This event will highlight and explore informed consent and the extent to which professionals describe recovery trajectory and timeline to patients, including a presentation of personal experience from a patient.

You will leave with an understanding of how this field is evolving, in terms of mechanisms, potential interventions, patient involvement and the legal dilemmas of post-surgical, as well as post-trauma, persistent pain.


Topics include:

  • The causes and mechanisms of persistent post-surgical pain (PPP)
  • Exploration of options to minimise or reduce PPP following elective or trauma surgery
  • Debate whether patients are truly informed of risk prior to elective surgery and how we could change care pathways to include the public, including carers


Key speakers:

  • Professor Henrik Kehlet, Professor of Perioperative Therapy and Head of Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Denmark.

Well-known surgeon among anaesthesiologists around the world due to his substantial contributions toward the understanding of surgical pathophysiology.

Professor Kehlet served as the Chief of Surgery and Professor of Surgery, Copenhagen University at Hvidovre University Hospital from 1989 to 2004, and was subsequently appointed as a Professor of Perioperative Therapy and Head of the Section for Surgical Pathophysiology at the Rigshospitalet, in Copenhagen.

Professor Kehlet continues to be an extremely prolific writer, having authored more than 950 scientific articles covering topics of surgical pathophysiology, acute pain physiology and pharmacotherapy, surgical stress response, regional anaesthesia and analgesia, perioperative immune function, fast-track surgery, and the transition from acute to chronic pain. 


  • Professor Tony Dickenson, Professor of Neuropharmacology at University College London.

Professor Dickenson is responsible for building a team of motivated, communicative, proactive and skilled pain researchers, which has lead to over 300 publications and an H-index of 77.Informing and educating on pain mechanisms and analgesic targets, translation from pre-clinical to patients and public engagement.

Professor Dickenson is involved in many advisory boards and has spoken around the world at Pain Congresses. 

He has made seminal contributions to understanding the mechanisms of pain and how pain can be controlled in both normal and patho-physiological conditions and how to translate basic science to the patient.

He is a founding and continuing member of the London Pain Consortium, a Wellcome Trust Integrated Physiology Initiative and now a Strategic Award, funding a group of scientists in London and Oxford studying pain mechanisms and training young scientists in integrated approaches to the study of pain from genes to function. He is the Training Director of this programme.



RSM member: £45 - £95

Non-member: £65 - £160


*Following registration you will be contacted appropriately by email with; your booking confirmation, feedback survey and attendance certificate. For full details of the RSM privacy policy, click here. Programme subject to change.


8.30 am

Registration, tea and coffee

9.00 am

Welcome and introduction

Dr Sibs Anwar, Consultant in Perioperative Medicine, St Bartholomew's Hospital - Barts Health NHS Trust

9.10 am

Persistent postsurgical pain: 20 years on

Dr Bill Macrae, Retired Consultant in Pain Medicine, Ninewells Hospital - NHS Tayside

9.40 am

How can I have recovered and yet remain in pain? Mechanisms of pain persistence

Professor Anthony Dickenson, Professor of Neuropharmacology, University College London

10.10 am

Panel discussion

10.30 am

Tea and coffee break

11.00 am

Prevention is the Holy Grail...the failed quest for a silver bullet

Professor Patricia Lavand'Homme, St Luc Hospital, University Catholic of Louvain, Belgium

11.30 am

If I knew then, what I know now: Sharing decisions

Dr Ramai Santhirapala, Consultant Anaesthetist, Guy's and St Thomas' NHS Foundation Trust

12.00 pm

Panel discussion

12.20 pm


1.20 pm

Not all surgery is planned...managing the pain of trauma in the battlefield

Dr Dominic Aldington, Consultant in Pain Medicine, Royal Hampshire County Hospital - Hampshire Hospitals NHS Foundation Trust

1.50 pm

Surgery without opiates - a Utopian future?

Professor Lesley Colvin, Chair of Pain Medicine, University of Dundee

2.20 pm

Panel discussion

2.40 pm

Tea and coffee break

3.10 pm

Current controversies in enhanced recovery after surgery: Focus on the role of pain medicine

Professor Henrik Kehlet, Professor of Perioperative Therapy, Section of Surgical Pathophysiology, Rigshospitalet, Copenhagen University

3.40 pm

The trauma of surviving surgery - a patient's story

Mr David Aaronovitch, The Times Newspaper

4.10 pm

Consent post-Montgomery

Mr Simon Lindsay, Partner, Bevan Brittan LLP

4.40 pm

Panel discussion with audience question and answer session, moderated by Dr Sibs Anwar

Dr Ramai Santhirapala, Professor Henrik Kehlet, Mr David Aaronovitch, Mr Simon Lindsay

5.10 pm

Close of meeting

Online evaluation survey and certificate will be sent after the meeting

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