open access
Early postoperative pain after Lichtenstein and Desarda hernioplasty
open access
Abstract
Background: In this report, a comparative analysis of early postoperative pain experienced by patients after Lichtenstein and Desarda hernia repair is presented. The first method is widely known and is considered the contemporary “gold standard” in hernia surgery. The latter technique belongs to the socalled aponeurotic techniques of the “pure tissue repair” group.
Material and methods: The study group included 41 males undergoing elective surgery for unilateral primary inguinal hernia. The choice of operative technique was not randomized and was left to the operating surgeon’s discretion. An interview and clinical examination were performed during the preoperative day, 12 hours postoperatively, upon discharge (usually 2nd postoperative day), during suture removal (usually 7th postoperative day) and 30 days after surgery. The patients were asked to mark the strongest pain experienced on the day of the examination using a Visual Analog Scale. The obtained data had an abnormal distribution, hence non-parametric statistical tools were used in their evaluation.
Results: Our study shows that no significant differences existed in the intensity of pain experienced by the patients after Lichtenstein and Desarda hernioplasty.
Conclusions: Neither hernia type nor the type of anesthesia used were found to influence the intensity of postoperative pain. The authors provide a discussion of their results with those available in the literature.
Polish Surgery 2010, 12, 67–75
Abstract
Background: In this report, a comparative analysis of early postoperative pain experienced by patients after Lichtenstein and Desarda hernia repair is presented. The first method is widely known and is considered the contemporary “gold standard” in hernia surgery. The latter technique belongs to the socalled aponeurotic techniques of the “pure tissue repair” group.
Material and methods: The study group included 41 males undergoing elective surgery for unilateral primary inguinal hernia. The choice of operative technique was not randomized and was left to the operating surgeon’s discretion. An interview and clinical examination were performed during the preoperative day, 12 hours postoperatively, upon discharge (usually 2nd postoperative day), during suture removal (usually 7th postoperative day) and 30 days after surgery. The patients were asked to mark the strongest pain experienced on the day of the examination using a Visual Analog Scale. The obtained data had an abnormal distribution, hence non-parametric statistical tools were used in their evaluation.
Results: Our study shows that no significant differences existed in the intensity of pain experienced by the patients after Lichtenstein and Desarda hernioplasty.
Conclusions: Neither hernia type nor the type of anesthesia used were found to influence the intensity of postoperative pain. The authors provide a discussion of their results with those available in the literature.
Polish Surgery 2010, 12, 67–75
Keywords
inguinal hernia; Lichtenstein technique; Desarda technique; postoperative pain
About this articleTitle
Early postoperative pain after Lichtenstein and Desarda hernioplasty
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
67-75
Published online
2011-02-04
Bibliographic record
Chirurgia Polska 2010;12(2):67-75.
Keywords
inguinal hernia
Lichtenstein technique
Desarda technique
postoperative pain
Authors
Wojciech Szczęsny
Jacek Szopiński
Adrian Reśliński
Jakub Szmytkowski
Stanisław Dąbrowiecki
