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[Pain and rehabilitation after inguinal hernia repair in adult male patients].
- Source :
-
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2004 Aug 12; Vol. 124 (15), pp. 1916-8. - Publication Year :
- 2004
-
Abstract
- Background: Increased awareness of post-hernia repair pain motivated a study of pain and rehabilitation after day surgery.<br />Material and Methods: Forty male patients were prospectively randomized to conventional (McVay) or open mesh repair. Self-assessment of postoperative pain was based on a four-step verbal scale. Patients and the physicians conducting the study were blinded to the surgical method. Clinical follow-up was performed twice, after four weeks and median 21 months.<br />Results: The open mesh technique generated less pain during the first postoperative week. Chronic light to moderate pain occurred in 20% of patients irrespective of surgical method. A sick leave of one to three weeks was sufficient in 20 out of 27 patients.<br />Interpretation: The study showed no clinical advantage of a tension-free method in terms of rehabilitation and post-hernia repair after the first postoperative week. Because of the relatively high incidence of late treatment-related pain, non-symptomatic adult patients should not be referred for inguinal hernia surgery. The primary sick leave period should not exceed three weeks.
- Subjects :
- Adult
Ambulatory Surgical Procedures adverse effects
Ambulatory Surgical Procedures methods
Analgesics administration & dosage
Follow-Up Studies
Hernia, Inguinal rehabilitation
Humans
Male
Middle Aged
Pain, Postoperative prevention & control
Pain, Postoperative rehabilitation
Prospective Studies
Recurrence
Sick Leave
Surgical Mesh
Suture Techniques
Hernia, Inguinal surgery
Pain, Postoperative etiology
Subjects
Details
- Language :
- Norwegian
- ISSN :
- 0807-7096
- Volume :
- 124
- Issue :
- 15
- Database :
- MEDLINE
- Journal :
- Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
- Publication Type :
- Academic Journal
- Accession number :
- 15306858