A STUDY OF COMPARISON BETWEEN TYPES OF SURGICAL TECHNIQUES FOR THE TREATMENT OF INGUINAL HERNIA BASED ON POST OPERATIVE PAIN.

Virendra Nanaji Zambare

Abstract


Objective:  To compare the intensity of postoperative pain between the surgical techniques Lichtenstein and transabdominal pre-peritoneal laparoscopy for the treatment of unilateral primary inguinal hernia

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Materials and Methods: Total of 60 patients were included of which 30 were operated through the Lichtenstein technique and 30 patients through the transabdominal pre-peritoneal laparoscopy. The pain levels were evaluated through the analogue visual scale for 2, 10 and 30 days after the surgery.

 

Results: The pain levels were significantly lower for the patients operated through the transabdominal pre-peritoneal laparoscopy technique compared to the Lichtenstein technique. Furthermore, despite no recurrent hernias for both surgical techniques, 32 % of patients operated through the Lichtenstein technique reported chronic pain and paresthesia 12 months after the surgery, compared with 3,6% of patients operated through the transabdominal pre-peritoneal laparoscopy technique.


Keywords


Pain, postoperative; Visual analog scale; Hernia

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References


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