开放性和腹腔镜腹股沟疝修补术后因严重慢性疼痛前往疼痛门诊就诊的情况。
Attendance at a pain clinic with severe chronic pain after open and laparoscopic inguinal hernia repairs.
作者信息
Hindmarsh A C, Cheong E, Lewis M P N, Rhodes M
机构信息
Department of General Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK.
出版信息
Br J Surg. 2003 Sep;90(9):1152-4. doi: 10.1002/bjs.4213.
BACKGROUND
The aim was to compare the frequency of severe chronic pain that required attendance at a pain clinic after open and laparoscopic inguinal hernia repairs.
METHODS
This was a retrospective analysis of 7999 patients who underwent inguinal hernia repair between January 1994 and December 2001. The definition of severe chronic pain was pain related to inguinal hernia surgery that was bad enough for the patient to seek further medical help and be referred to the specialist pain clinic after exclusion of surgically correctable pathology such as hernia recurrence.
RESULTS
During the study there were 7153 open repairs and 846 laparoscopic repairs. Sixty-nine patients (1.0 per cent) were referred to the pain clinic a median of 16.9 (range 5.1-69.4) months after open hernia repair. Three patients (0.4 per cent) were referred a median of 16.5 (range 7.3-21.5) months after laparoscopic hernia repair (P = 0.045).
CONCLUSION
Laparoscopic inguinal hernia repair was associated with a significantly lower frequency of attendance at the pain clinic with severe chronic pain.
背景
目的是比较开放腹股沟疝修补术和腹腔镜腹股沟疝修补术后需要到疼痛门诊就诊的严重慢性疼痛的发生率。
方法
这是一项对1994年1月至2001年12月期间接受腹股沟疝修补术的7999例患者的回顾性分析。严重慢性疼痛的定义为与腹股沟疝手术相关的疼痛，严重程度足以使患者寻求进一步医疗帮助，并在排除可手术纠正的病理情况（如疝复发）后被转诊至专科疼痛门诊。
结果
研究期间，有7153例开放修补术和846例腹腔镜修补术。69例患者（1.0%）在开放疝修补术后中位16.9个月（范围5.1 - 69.4个月）被转诊至疼痛门诊。3例患者（0.4%）在腹腔镜疝修补术后中位16.5个月（范围7.3 - 21.5个月）被转诊（P = 0.045）。
结论
腹腔镜腹股沟疝修补术与因严重慢性疼痛到疼痛门诊就诊的频率显著降低相关。
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