Effect of Laparoscopic <i>Versus</i> Open Tension-Free Hernioplasty on Early Postoperative Pain for Patients with Inguinal Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YANGHua , WANGJun-wei , PENGXue-feng ,  JINXin-fu

Department of General Surgery, The 4th People's Hospital of Zigong City, Zigong 643000, Sichuan Province, China;

Corresponding?author：

JINXin-fu, Email: 19393148@qq.com

Keywords：

Tension-free hernioplasty; Laparoscope; Pain; Inguinal hernia

DOI：

10.7507/1007-9424.20160353

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare degree and characteristics of early postoperative pain for patients with inguinal hernia underwent laparoscopic versus open tension-free hernioplasty. Methods The clinical data of 120 patients who underwent tension-free hernioplasty from July 2013 to June 2015 were analyzed. All of the patients were divided into open tension-free hernioplasty group (open group, n=60) and laparoscopic tension-free hernioplasty group (laparoscope group, n=60). Visual analogue scale (VAS) score was evaluated at different time point. Results ① Within 12 h after operation, the comparison of total VAS score between the laparoscope group and the open group had no significant difference (F=1.674, P=0.198), the difference of VAS score in these two groups was significantly different at each time point (F=21.186, P=0.000), and the variation tendency was influenced by grouping factors (F=87.038, P=0.000). ② Within 7 d after opera-tion, the differences of comparison of total VAS score between the laparoscope group and the open group and at each time point were statistically significant (F=46.358, P=0.000; F=576.387, P=0.000) and had a downtrend, further more the variation tendency was influenced by grouping factors (F=19.454, P=0.000). ③ The composition ratios of pain site and characteristics had significant differences between these two groups within 7d after operation (χ²=10.108, P=0.001; χ²=7.144, P=0.028), the dosage of analgesic drugs between two groups had no significant difference (t=0.872, P=0.386). Conclusion As a representative of minimally invasive surgery, laparoscopic technology has certain advantages in reducing postoperative pain for patients with inguinal hernia, but minimally invasive technique does not mean to painless. Further improvement is needed by hernia surgery.

Citation： YANGHua, WANGJun-wei, PENGXue-feng, JINXin-fu. Effect of Laparoscopic Versus Open Tension-Free Hernioplasty on Early Postoperative Pain for Patients with Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(11): 1384-1388. doi: 10.7507/1007-9424.20160353 Copy

1.	陳雙. 從解剖入手做好腹股溝疝規范手術. 中國實用外科雜志, 2014, 34(5):384-385.
2.	方積乾. 生存質量測定方法及應用. 北京:北京醫科大學出版社, 2000:49-53.
3.	Dahlstrand U, Sandblom G, Nordin P, et al. Chronic pain after femoral hernia repair:a cross-sectional study. Ann Surg, 2011, 254 (6):1017-1021.
4.	Dahlstrand U, Sandblom G, Ljungdahl M, et al. TEP under general anesthesia is superior to Lichtenstein under local anesthesia in terms of pain 6 weeks after surgery:results from a randomized clinical trial. Surg Endosc, 2013, 27(10):3632-3638.
5.	Kleidari B, Mahmoudieh M, Yaribakht M, et al. Mesh fixation in TAPP laparoscopic hernia repair:introduction of a new method in a prospective randomized trial. Surg Endosc, 2014, 28(2):531-536.
6.	中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南. 中國實用外科雜志, 2012, 32(10):833-835.
7.	中華醫學會外科分會腹腔鏡與內鏡外科學組, 中華醫學會外科分會疝與腹壁外科學組, 大中華腔鏡疝外科學院. 腹股溝疝腹腔鏡手術規范化操作指南. 中國實用外科雜志, 2013, 33(7):566-570.
8.	郝雙林, 田寶斌, 王玲, 等. VAS測痛法的臨床初步評估. 中國醫學科學院學報, 1994, 15(6):397-399.
9.	王會民, 路桃影, 吳大嶸, 等. 疼痛測量工具的應答模式評析. 循證醫學理論與方法, 2015, 15(2):102-107.
10.	Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Associa-tion for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl, 1986, 3:S1-S226.
11.	Poobalan AS, Bruce J, Smith WC, et al. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain, 19(1):48-54.
12.	Callesen T, Bech K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg, 1999, 86(12):1528-1531.
13.	趙渝, 王剛. 腹股溝疝修補術后慢性疼痛的原因及治療. 中國實用外科雜志, 2006, 26(11):826-828.
14.	陳鑫, 李健文. 從循證醫學角度談腹腔鏡腹股溝疝修補術20年進展. 中國實用外科雜志, 2014, 34(5):391-395.
15.	黃耿文, 肖廣發, 李宜雄. 高齡患者對側隱匿性腹股溝疝的外科治療. 中華疝與腹壁外科雜志:電子版, 2014, 8(1):19-20.
16.	K?ninger J, Redecke J, Butters M. Chronic pain after hernia repair:a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch Surg, 2004, 389(5):361-365.
17.	何文, 楊柳, 黃耿文, 等. 腹腔鏡下腹股溝疝修補術后疼痛調查. 中華疝與腹壁外科雜志:電子版, 2015, 9(5):424-426.
18.	朱雷明, 姜衛東, 朱建斌, 等. 腹腔鏡完全腹膜外腹股溝疝修補術中補片釘合固定與醫用膠固定的對照研究. 中華疝和腹壁外科雜志:電子版, 2012, 6(2):718-723.
19.	吳強, 于游, 王燦. 無張力腹股溝疝修補術后慢性疼痛原因分析及治療. 中國普外基礎與臨床雜志, 2009, 16(2):95-97.

1. 陳雙. 從解剖入手做好腹股溝疝規范手術. 中國實用外科雜志, 2014, 34(5):384-385.
2. 方積乾. 生存質量測定方法及應用. 北京:北京醫科大學出版社, 2000:49-53.
3. Dahlstrand U, Sandblom G, Nordin P, et al. Chronic pain after femoral hernia repair:a cross-sectional study. Ann Surg, 2011, 254 (6):1017-1021.
4. Dahlstrand U, Sandblom G, Ljungdahl M, et al. TEP under general anesthesia is superior to Lichtenstein under local anesthesia in terms of pain 6 weeks after surgery:results from a randomized clinical trial. Surg Endosc, 2013, 27(10):3632-3638.
5. Kleidari B, Mahmoudieh M, Yaribakht M, et al. Mesh fixation in TAPP laparoscopic hernia repair:introduction of a new method in a prospective randomized trial. Surg Endosc, 2014, 28(2):531-536.
6. 中華醫學會外科學分會疝和腹壁外科學組. 成人腹股溝疝診療指南. 中國實用外科雜志, 2012, 32(10):833-835.
7. 中華醫學會外科分會腹腔鏡與內鏡外科學組, 中華醫學會外科分會疝與腹壁外科學組, 大中華腔鏡疝外科學院. 腹股溝疝腹腔鏡手術規范化操作指南. 中國實用外科雜志, 2013, 33(7):566-570.
8. 郝雙林, 田寶斌, 王玲, 等. VAS測痛法的臨床初步評估. 中國醫學科學院學報, 1994, 15(6):397-399.
9. 王會民, 路桃影, 吳大嶸, 等. 疼痛測量工具的應答模式評析. 循證醫學理論與方法, 2015, 15(2):102-107.
10. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Associa-tion for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl, 1986, 3:S1-S226.
11. Poobalan AS, Bruce J, Smith WC, et al. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain, 19(1):48-54.
12. Callesen T, Bech K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg, 1999, 86(12):1528-1531.
13. 趙渝, 王剛. 腹股溝疝修補術后慢性疼痛的原因及治療. 中國實用外科雜志, 2006, 26(11):826-828.
14. 陳鑫, 李健文. 從循證醫學角度談腹腔鏡腹股溝疝修補術20年進展. 中國實用外科雜志, 2014, 34(5):391-395.
15. 黃耿文, 肖廣發, 李宜雄. 高齡患者對側隱匿性腹股溝疝的外科治療. 中華疝與腹壁外科雜志:電子版, 2014, 8(1):19-20.
16. K?ninger J, Redecke J, Butters M. Chronic pain after hernia repair:a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch Surg, 2004, 389(5):361-365.
17. 何文, 楊柳, 黃耿文, 等. 腹腔鏡下腹股溝疝修補術后疼痛調查. 中華疝與腹壁外科雜志:電子版, 2015, 9(5):424-426.
18. 朱雷明, 姜衛東, 朱建斌, 等. 腹腔鏡完全腹膜外腹股溝疝修補術中補片釘合固定與醫用膠固定的對照研究. 中華疝和腹壁外科雜志:電子版, 2012, 6(2):718-723.
19. 吳強, 于游, 王燦. 無張力腹股溝疝修補術后慢性疼痛原因分析及治療. 中國普外基礎與臨床雜志, 2009, 16(2):95-97.

Previous Article
Surgical Treatment of Advanced Hepatic Alveolar Echinococcosis (Report of 36 Cases)
Next Article
Clinical Application of Totally Laparoscopic Splenectomy Via Anterior Approach

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effect of Laparoscopic Versus Open Tension-Free Hernioplasty on Early Postoperative Pain for Patients with Inguinal Hernia

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content