Department of Visceral, Transplant and Thoracic Surgery, Center for Operative Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Surg Endosc. 2022 Feb;36(2):1476-1481. doi: 10.1007/s00464-021-08432-y. Epub 2021 Apr 6.
To investigate driving ability (brake reaction time, BRT) after right-sided hernia repair. It was assumed that postoperatively BRT would be impaired as compared to the preoperative reference and healthy controls.
BRT was prospectively collected from 30 patients undergoing hernia repair [Lichtenstein or total extraperitoneal endoscopic procedure (TEP)]. BRT was measured with a driving simulator preoperatively and on postoperative days 2 and 14. After receiving a visual stimulus, the patients had to apply the brake pedal with 160 N. The average of ten runs was used as the patient's BRT value.
Thirty patients completed all measurements. In the Lichtenstein group, BRT was significantly impaired as compared to the patient's preoperative values (p = 0.021). Two weeks after surgery BRT had returned to the preoperative level (p = 0.859). BRT in the Lichtenstein group was also significantly impaired 2 days postoperatively as compared to the BRT of 60 healthy controls (p = 0.001). In the TEP group, no impaired BRT was detected.
Based on our finding of significantly impaired BRT in patients following right-sided Lichtenstein hernia repair, it seems wise to recommend that such patients refrain from driving for 2 weeks after surgery. No such impairment was found in patients following TEP surgery. Consequently, it is deemed safe for them to resume driving 2 days after the procedure.
研究右侧疝修补术后的驾驶能力（制动反应时间，BRT）。假设与术前参考值和健康对照组相比，术后 BRT 会受损。
前瞻性收集 30 例接受疝修补术（Lichtenstein 或完全腹膜外内镜手术（TEP））的患者的 BRT。术前和术后第 2 天和第 14 天使用驾驶模拟器测量 BRT。患者接收到视觉刺激后，必须用 160N 踩刹车踏板。十个运行的平均值用作患者的 BRT 值。
30 例患者完成了所有测量。在 Lichtenstein 组中，与患者术前值相比，BRT 明显受损（p=0.021）。术后两周，BRT 已恢复到术前水平（p=0.859）。与 60 名健康对照组的 BRT 相比，Lichtenstein 组患者术后第 2 天的 BRT 也明显受损（p=0.001）。在 TEP 组中，未检测到 BRT 受损。
根据我们发现右侧 Lichtenstein 疝修补术后患者 BRT 明显受损的结果，建议此类患者术后 2 周内避免驾驶似乎是明智的。在 TEP 手术后的患者中未发现 BRT 受损。因此，术后第 2 天，他们被认为可以安全地恢复驾驶。
