POSTOPERATIVE PAIN AFTER VENTRAL HERNIA REPAIR: A PROSPECTIVE COMPARISON OF OPEN VERSUS LAPAROSCOPIC WITH INTRAPERITONEAL ONLAY MESH (IPOM) TECHNIQUE
Journal
Journal of Morphological Sciences
Date Issued
2021
Author(s)
Nancheva, Jasmina
Panik, Katarina
DOI
10.55302/jms2141095k
Abstract
Laparoscopic ventral hernioplasty has many advantages over the open access hernioplasty,
but patients suffer severe pain in the first few days.
Objectives of this study was comparison of early postoperative pain in Open and
Laparascopic approach in IPOM hernioplasty and whether there was statistically significant difference
in the intensity of postoperative pain during resting and activity.
63 patients who met the inclusion criteria were included in a randomized, prospective,
comparative study and were operated with the IPOM technique. They were divided into two groups:
open and laparascopic access (32 and 31 patient, consequently). In both groups, postoperative pain
was compared at eight time intervals during rest and activity, quantified using VAS. The statistical
analysis was done in the statistical programme SPSS version 23.0.
Patients undergoing laparoscopic hernioplasty had significantly higher pain intensities on the
day of the intervention, the first and second day after the intervention (p<0.0001). On the third and
seventh postoperative days, as well as one and six months after the intervention, there was no
significant difference in pain intensity between the two methods during rest and activity.
Patients after laparoscopic ventral hernioplasty suffer from severe pain in the early
postoperative period and it is the biggest challenge and problem after these operations. This originates
from transfascial sutures for mesh fixation in both groups and additionally multiple lesions of the
parietal peritoneum in the laparoscopic method due to the numerous mesh fixations with tackers.
but patients suffer severe pain in the first few days.
Objectives of this study was comparison of early postoperative pain in Open and
Laparascopic approach in IPOM hernioplasty and whether there was statistically significant difference
in the intensity of postoperative pain during resting and activity.
63 patients who met the inclusion criteria were included in a randomized, prospective,
comparative study and were operated with the IPOM technique. They were divided into two groups:
open and laparascopic access (32 and 31 patient, consequently). In both groups, postoperative pain
was compared at eight time intervals during rest and activity, quantified using VAS. The statistical
analysis was done in the statistical programme SPSS version 23.0.
Patients undergoing laparoscopic hernioplasty had significantly higher pain intensities on the
day of the intervention, the first and second day after the intervention (p<0.0001). On the third and
seventh postoperative days, as well as one and six months after the intervention, there was no
significant difference in pain intensity between the two methods during rest and activity.
Patients after laparoscopic ventral hernioplasty suffer from severe pain in the early
postoperative period and it is the biggest challenge and problem after these operations. This originates
from transfascial sutures for mesh fixation in both groups and additionally multiple lesions of the
parietal peritoneum in the laparoscopic method due to the numerous mesh fixations with tackers.
File(s)![Thumbnail Image]()
Loading...
Name
214-1-1001-1-10-20210319 (1).pdf
Size
245.67 KB
Format
Adobe PDF
Checksum
(MD5):8d5135771c3c63ab491824aebf2b570a