Volume : 7, Issue : 3, March - 2018

A study of comparison between types of surgical techniques for the treatment of inguinal hernia based on post operative pain.

Dr. Virendra Nanaji Zambare

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-bidi-font-style:&#10;italic">Objective:</span></b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">&nbsp;&nbsp;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<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;mso-bidi-font-style:italic">Materials and Methods: Total of</span></b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;color:black;background:white"> 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. <o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:black;background:white"><o:p>&nbsp;</o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;;&#10;mso-bidi-font-style:italic">Results:</span></b><span style="font-family:&quot;Arial&quot;,&quot;sans-serif&quot;">&nbsp;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.<o:p></o:p></span></p>