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

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Authors: Seyed Hadi Mirhashemi, Rouzbeh Shadidi Asil, Manoochehr Ebrahimian, Mehrnoosh Kialashaki, Amir Zamani, and Esmaeil Haji Nasrollah
Page Range: 215-219
Published in: Journal of Pain Management, 15#3 (2022)
ISSN: 1939-5914

Table of Contents

ABSTRACT

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. Keywords: Inguinal hernia, postoperative pain, laparoscopic surgery

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