H Pokorny1, A Klingler, M Scheyer, R Függer, G Bischof. 1. Department of Surgery, Medical University Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria. herwig.pokorny@meduniwien.ac.at
Abstract
BACKGROUND: As part of a large prospective randomized Austrian multicenter trial evaluating recurrence rates and complications of open and laparoscopic unilateral inguinal hernia repairs we assessed postoperative pain and quality of life. METHODS:Approximately 151 patients were randomized to Shouldice repair, Bassini operation, or laparoscopic transabdominal preperitoneal hernioplasty (TAPP). Pain was recorded preoperatively and on the first four postoperative days. Quality of life was recorded preoperatively and 1 month postoperatively. RESULTS: Patients having Shouldice repairs had significantly higher visual analog-scale scores for pain on the fourth postoperative day (P=0.048) and significantly higher scores in McGill pain questionnaires on the first four postoperative days (P=0.046) compared with the other groups. Apart from a significantly lower score in postoperative bodily pain in the Shouldice group (P=0.039), no significant differences in quality of life were apparent among the three methods. CONCLUSIONS: The TAPP and Bassini repairs result in less short-term postoperative pain.
RCT Entities:
BACKGROUND: As part of a large prospective randomized Austrian multicenter trial evaluating recurrence rates and complications of open and laparoscopic unilateral inguinal hernia repairs we assessed postoperative pain and quality of life. METHODS: Approximately 151 patients were randomized to Shouldice repair, Bassini operation, or laparoscopic transabdominal preperitoneal hernioplasty (TAPP). Pain was recorded preoperatively and on the first four postoperative days. Quality of life was recorded preoperatively and 1 month postoperatively. RESULTS:Patients having Shouldice repairs had significantly higher visual analog-scale scores for pain on the fourth postoperative day (P=0.048) and significantly higher scores in McGill pain questionnaires on the first four postoperative days (P=0.046) compared with the other groups. Apart from a significantly lower score in postoperative bodily pain in the Shouldice group (P=0.039), no significant differences in quality of life were apparent among the three methods. CONCLUSIONS: The TAPP and Bassini repairs result in less short-term postoperative pain.
Authors: M S Liem; Y van der Graaf; C J van Steensel; R U Boelhouwer; G J Clevers; W S Meijer; L P Stassen; J P Vente; W F Weidema; A J Schrijvers; T J van Vroonhoven Journal: N Engl J Med Date: 1997-05-29 Impact factor: 91.245
Authors: N Schouten; T van Dalen; N Smakman; G J Clevers; P H P Davids; E J M M Verleisdonk; H Tekatli; J P J Burgmans Journal: Surg Endosc Date: 2011-09-30 Impact factor: 4.584
Authors: Michael B Ujiki; Matthew E Gitelis; Joann Carbray; Brittany Lapin; John Linn; Steven Haggerty; Chi Wang; Ryota Tanaka; Ermilo Barrera; Zeeshan Butt; Woody Denham Journal: Surg Endosc Date: 2014-12-06 Impact factor: 4.584
Authors: H Pokorny; A Klingler; T Schmid; R Fortelny; C Hollinsky; R Kawji; E Steiner; H Pernthaler; R Függer; M Scheyer Journal: Hernia Date: 2008-02-19 Impact factor: 4.739