Comparing the results of open and laparoscopic surgery by transabdominal preperitoneal (TAPP) method on postoperative pain among males with recurrent inguinal hernia

Although recurrence and pain is one of the most important issues after treatment of inguinal hernia, there is no consensus on the optimal prosthetic mesh repair technique to ensure a long-lasting result. In this study, 60 male patients (including two groups of 30) underwent elective surgery for recu...

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Bibliographic Details
Published inJournal of pain management Vol. 15; no. 3; pp. 215 - 219
Main Authors Mirhashemi, Seyed Hadi, Asil, Rouzbeh Shadidi, Ebrahimian, Manoochehr, Kialashaki, Mehrnoosh, Zamani, Amir, Nasrollah, Esmaeil Haji
Format Journal Article
LanguageEnglish
Published Hauppauge Nova Science Publishers, Inc 01.07.2022
Subjects
Abdomen
Age
Cameras
Elective surgery
General anesthesia
Hematoma
Hernias
Hospitals
Laparoscopy
Length of stay
Males
Methods
Pain
Postoperative period
Prostheses
Surgeons
Surgical outcomes
Surgical techniques
Liechtenstein
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Summary:Although recurrence and pain is one of the most important issues after treatment of inguinal hernia, there is no consensus on the optimal prosthetic mesh repair technique to ensure a long-lasting result. In this study, 60 male patients (including two groups of 30) underwent elective surgery for recurrent inguinal hernia repair in Loghman Hakim Hospital. Pain score was measured based on Visual analog scale (VAS) at second day, seventh day and three months after surgery. In addition, operation duration, length of hospital stay, return to work time, seroma and hematoma occurrence, and hernia recurrence were compared between the two surgical techniques. Operation duration in the laparoscopic group was significantly longer than Liechtenstein open technique (P < 0.001). Return time to work was significantly shorter in the laparoscopic group than in Liechtenstein (P < 0.001). Also, the intensity of postoperative pain on second day, seven days and three months after surgery was significantly lower in the laparoscopic group than Liechtenstein (P < 0.001). In laparoscopic surgery, despite the longer duration of the operation and length of hospital stay, the surgical complications such as hematoma and seroma are less and patients had less postoperative pain.
ISSN:1939-5914