Use this url to cite publication: https://hdl.handle.net/20.500.12512/111818
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Risk factors predicting postoperative pain after laparoscopic/endoscopic inguinal hernia repair / Mindaugas Kiudelis, Ernest Margelis, Egle Kubiliute, Paulius Burkauskas
Type of publication
Konferencijų tezės nerecenzuojamame leidinyje / Conference theses in non-peer-reviewed publication (T2)
Title
Risk factors predicting postoperative pain after laparoscopic/endoscopic inguinal hernia repair / Mindaugas Kiudelis, Ernest Margelis, Egle Kubiliute, Paulius Burkauskas
Publisher (trusted)
Baltic Association of Surgeons |
Date Issued
Date Issued |
---|
2021-06-03 |
Extent
p. 127-127.
Is part of
10th Congress of the Baltic Association of Surgeons - BAS : Abstract book : 3-4 June, 2021 / Baltic Association of Surgeons. Riga : Baltic Association of Surgeons, 2021.
Version
Originalus / Original
Description
Miscellaneous
Field of Science
Abstract
Objectives Laparoscopic inguinal hernia repair (TAPP or TEP) is a more relevant method compared with open surgery due to less postoperative pain and faster recovery. However, there is a lack of clinical studies that evaluates the predicting factors for postoperative pain after TAPP and TEP surgeries. The aim of this study was to identify the independent risk factors predicting pain after laparoscopic/endoscopic inguinal hernia repair. Materials and Methods A prospective, randomized clinical trial is carried out by dividing patients into two groups (TAPP and TEP) depending on the type of inguinal hernia surgery. The study included 94 patients hospitalized for primary inguinal hernia repair. Postoperative pain was evaluated 3, 6, 9 hours after the operation according VAS. Analgesics were prescribed only when the pain was greater than 3 points according VAS 3 hours after surgery. Results The average patient’s age was 56.3 ± 14.1 y. Mean postoperative stay was 1.1 ± 0.5 days. The most common preoperative symptom was bulging in the groin area (41.5 %). Mean pain score (VAS) 3 hours after surgery was 3.4±1.4 in TAPP group vs 1.8±0.9 in TEP group (p=0.041) Multivariable logistic regression analysis pointed out that TAPP surgery (OR 3.8; p<0.01), smoking (OR 1.8; p<0.05), duration of surgery >70min (OR 3.4; p<0.05) and hernia defect size >3cm (OR 1.4; p<0.05) are independent risk factors predicting postoperative pain after laparoscopic/endoscopic inguinal hernia repair.[...]
Type of document
type::text::conference output::conference proceedings::conference paper
Other Identifier(s)
(LSMU ALMA)990001043990107106
Coverage Spatial
Latvija / Latvia (LV)
Language
Anglų / English (en)