Comparative Study of Postoperative Pain Between the Lichtenstein and Laparoscopy Surgical Techniques for the Treatment of Unilateral Primary Inguinal Hernia

Abstract

Background:There are several surgical treatment options for inguinal hernia; however, there is no consensus on the literature identifying which surgical technique promotes less postoperative pain. Aim: 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. Methods: Were included 60 patients, 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. Additionally, the recurrence rate and the presence of chronic pain and paresthesia were evaluated 12 months after the surgery. Results: Overall, the data analysis showed significant differences on pain levels between the surgical techniques. There were no significant differences between the pain levels for day 2. However, for 10 and 30 days after the surgery, 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. Conclusion: There are differences between the surgical techniques, with the transabdominal pre-peritoneal laparoscopy procedure promoting significantly lower postoperative pain (10 and 30 days) and chronic pain (12 months) compared to the Lichtenstein procedure.

A clinical study of post operative complications of Lichtenstein’s hernioplasty for inguinal hernia

“…18 In the present study, the recurrence rate was zero even after 1 year follow up. Similar observations were also reported by the Pedroso et al and Patil et al 19,20 However, 12 months is the shortest time to for estimating recurrence rate which is the limitation in the present study. Long term studies need to be done to know the exact efficacy of Lichtenstein tension-free mesh in inguinal hernia repair.…”

Nursing diagnoses in adults and elderlies in the preoperative period: a comparative study

“…In this research, the high male quantity may be associated with the high number of men hospitalized for inguinal hernia surgery. This procedure is predominantly observed in men, due to the development of manual labor that require handling of heavy materials (19) . Thus, the results found in this study contradict the evidence in the literature, since, according to the DATASUS (20) , in 2017, in Rio de Janeiro (RJ), the female population presented a higher number of hospitalizations (197,996) than the male ones (130,361).…”

Tissue microarray technology and collagen evaluation to analyze surgical trauma performed with usual blade or ultrasonic harmonic scalpels in rats

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