A comparative study of hernia with respect to visual analogue scale for post-operative pain
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 10
Abstract
Introduction: Inguinal hernia repair surgeries are among the commonest general surgical procedures performed worldwide and hence due effort has been taken over the years to reduce the morbidity associated with them. Postoperative pain following mesh hernioplasty is one such complication that has been a significant, albeit possibly underreported issue. Mild pain lasting a few days is common following mesh inguinal hernia repair. It is imperative to differentiate this pain from chronic groin pain or inguinodynia. Inguinodynia is described by the International Association for the Study of Pain (IASP) as “groin pain reported by the patient at or beyond 3-months following inguinal hernia repair”. Incidence varies among studies, ranging between 0% and 62.9% and has significant impact on quality of life. Chronic groin pain varies from a dull ache to sharp shooting pain along the distribution of inguinal nerves. There have been several theories put forward about the cause of inguinodynia. They have been broadly classified as neuropathic and non-neuropathic pain. Aims and Objective: To study hernia with respect to visual analogue scale for post-operative pain. Methodology: 100 patients will be thus selected based on the above inclusion and exclusion criteria Informed written consent will be obtained by each study subject Demographic data was collected by each patient using a proforoma and documented Result: In our study, 46 patients had a direct hernia and 54 patients had an indirect hernia.46% Patients were having left sided hernia and 31% were having right sided hernia 23% were having bilateral hernia. Type of Repair: 84 patients underwent a Lichenstein’s mesh hernioplasty while 16 patients underwent a repair with no mesh. It was found that inguinodynia was more severe in bilateral hernia cases (p value=0.000041), indirect hernias (p value = 0.00001) and mesh repairs (p value =0.000504)
Authors and Affiliations
Aashik Shetty B, Syed Aezaz Quryshi
Keywords
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