Analysis of postoperative pain in laparoscopic transabdominal preperitoneal and Lichtenstein repair of adult recurrent inguinal hernia
10.3760/cma.j.issn.1673-4904.2017.04.010
- VernacularTitle:腹腔镜经腹腹膜前疝修补术与Lichtenstein术治疗成年人腹股沟复发疝的术后疼痛分析
- Author:
Huiming LIU
;
Qing TIAN
;
Yilei YUAN
;
Suqin YU
;
Honghua DING
;
Yang WANG
;
Honglei GAO
;
Zuocheng SUN
- Keywords:
Laparoscopes;
Hernia,inguinal;
Recurrence;
Pain,postoperative
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(4):325-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes and prevention of postoperative pain of laparoscopic transabdominal preperitoneal (TAPP) and Lichtensteinrepair in the treatment of adult recurrent inguinal hernia.Methods Sixty adult recurrent inguinal hernia patients were enrolled in this study.They were divided into TAPP group and Lichtenstein group by random digits table,with 30 cases in each group.At 6 h Mter operation,the pain degree was evaluated by visual analogue scale (VAS) and compared between two groups.The level of VAS in TAPP group was (3.76 ± 1.47) scores,in Lichtenstein group was (6.36 ± 1.54) scores,and there was significant difference (t =-5.978,P =0.000).In TAPP group,pain was mainly moderate (17 cases,56.67％) and mild (11 cases,36.67％).In Lichtenstein group,pain was mainly moderate (14 cases,46.66％) and severe (13 cases,43.33％).Postoperative follow-up ranged from 6 to 48 months.No chronic pain appeared in TAPP group.There were 4 cases with chronic pain in Lichtenstein group,and the incidence rate of chronic pain was 13.3％.Conclusions The operation of TAPP in the treatment of recurrent inguinal hernia in adult patients has the advantage of shorter operation time,less postoperative pain,faster postoperative recovery,and can effectively reduce the incidence of postoperative pain.
