Răcăreanu Marian, Preda Silviu-Daniel, Predoi Anamaria, Konstantinos Sapalidis, Bratiloveanu Tudor, Mogoș Gabriel Florin Răzvan, Dobrinescu Adrian, Râmboiu Sandu, Mărgăritescu Dragoș, Cârțu Dan, Șurlin Valeriu
University of Medicine and Pharmacy of Craiova, Department of Surgery.
Craiova Emergency Clinical Hospital.
Curr Health Sci J. 2023 Oct-Dec;49(4):524-529. doi: 10.12865/CHSJ.49.04.7. Epub 2023 Dec 29.
Inguinal hernia surgery is a constantly evolving field, with ongoing research efforts aimed at enhancing surgical techniques and outcomes for patients. This retrospective study conducted between 2015 and 2020 in the First Surgical Clinic of Craiova Emergency Clinical Hospital focused on the occurrence and characteristics of postoperative pain following inguinal hernia repair using the tension-free Lichtenstein procedure. A total of 178 patients were included in the study, with 16.85% reporting postoperative pain. The average pain intensity was 6.4 on a scale of 1 to 10. Patients described the pain as numbness, burning sensation, stinging, pressure, and tingling sensations. Notably, 50% of patients reported pain related to weather changes. While the study explored potential relationships between patient demographics, hernia type, and postoperative pain, no statistically significant associations were found. Approximately 20% of patients with postoperative pain reported adverse effects on their work, and 10% used analgesics for pain management. This study highlights the multifaceted nature of postoperative pain following inguinal hernia repair, emphasizing the need for further research to identify individual risk factors and adherence to international guidelines for hernia management. The findings also underscore the importance of effective pain management strategies to improve patient comfort and quality of life post-surgery.
腹股沟疝手术是一个不断发展的领域，目前正在进行研究，旨在改进手术技术并提高患者的手术效果。这项回顾性研究于2015年至2020年在克拉约瓦急诊临床医院第一外科诊所进行，重点关注使用无张力利希滕斯坦手术修复腹股沟疝后术后疼痛的发生率和特征。该研究共纳入178例患者，其中16.85%报告有术后疼痛。疼痛强度平均为6.4（1至10分制）。患者将疼痛描述为麻木、烧灼感、刺痛、压迫感和刺痛感。值得注意的是，50%的患者报告疼痛与天气变化有关。虽然该研究探讨了患者人口统计学、疝类型与术后疼痛之间的潜在关系，但未发现有统计学意义的关联。术后疼痛患者中约20%报告对工作有不良影响，10%使用镇痛药进行疼痛管理。这项研究突出了腹股沟疝修复术后疼痛的多方面性质，强调需要进一步研究以确定个体风险因素，并遵守国际疝管理指南。研究结果还强调了有效疼痛管理策略对于提高患者术后舒适度和生活质量的重要性。
