THE INCIDENCE AND CHARACTERISTICS OF CHRONIC POSTOPERATIVE GROIN PAIN AFTER INGUINAL HERNIA REPAIR DEPENDING ON DIFFERENT SURGICAL TECHNIQUES

Incidencija i karakteristike kronične poslijeoperacijske boli nakon operacije preponske kile glavna su tema ovog rada. Cilj rada je prikazivanje incidencije kronične poslijeoperacijske boli u Klinici za kirurgiju Kliničkog bolničkog centra Rijeka u ovisnostii o upotrebi kirurške tehnike. Istraživanje je na 370 ispitanika i provedeno je na Klinici za kirurgiju KBC-a Rijeka u razdoblju od 01.10.2017. do 30.04.2018.g. Na uzorku od 370 ispitanika Lichtenstein tehnika provedena je na 300, a Trabucco tehnika na 70 ispitanika. Istraživanje je provedeno retrospektivno, s time da su ispitanici operirani 6-8 mjeseci prije analize karakteristika kronične poslijeoperacijske boli u preponi. Od ukupnog broja operiranih ispitanika, fokus istraživanja su bili ispitanici s incidencijom kronične poslijeoperacijske boli u preponi. Od ukupnog broja ispitanika 18 (4,8 %) ispitanika je imalo kroničnu poslijeoperacijsku bol u preponi. Svi bolesnici koji su osjećali bol operirani su po Lichtenstein tehnici. Kod bolesnika koji su operirani po Trabucco tehnici nije bilo incidencije kronične poslijeoperacijske boli. Bolesnici koji su osjećali bol osjećali su bol blagog intenziteta. U zaključku, Trabucco tehnika smanjuje incidenciju kronične poslijeoperacijske boli u preponi.Characteristics and incidence of the chronic postoperative groin pain after the inguinal hernia surgery is the main subject of this paper. Its main goal is showing the incidence of the chronic postoperative pain in the Surgery Clinic of the Clinical Hospital Centre Rijeka in dependence on the use of the surgical technique. Research held place on Surgery Clinic of the Clinical Hospital Centre Rijeka on 370 subjects starting from October 1st 2017 and ending on April 30th 2018. On the sample of 370 subjects, Lichtenstein surgical technique is used on 300, and Trabucco surgical technique on 70 subjects. Research is held in retrospect, as subjects were operated 6-8 months before the analysis of the characteristics of the chronic postoperative groin pain. Of all analyzed subjects, main focus of the research were the subjects that showed the incidence of the chronic postoperative groin pain. Analysis of all subjects that participated in the research, 18 of them showed signs of postoperative groin pain (4,8 %). All subjects that had postoperative groin pain were operated with Lichtenstein surgical technique. Subjects operated with Trabucco surgical technique had no indication of postoperative groin pain. Results showed mild pain intensity with the subjects that had indication of pain. In conclusion, Trabucco surgical technique reduces the incidence of the chronic postoperative groin pain

THE INCIDENCE AND CHARACTERISTICS OF CHRONIC POSTOPERATIVE GROIN PAIN AFTER INGUINAL HERNIA REPAIR DEPENDING ON DIFFERENT SURGICAL TECHNIQUES

Incidencija i karakteristike kronične poslijeoperacijske boli nakon operacije preponske kile glavna su tema ovog rada. Cilj rada je prikazivanje incidencije kronične poslijeoperacijske boli u Klinici za kirurgiju Kliničkog bolničkog centra Rijeka u ovisnostii o upotrebi kirurške tehnike. Istraživanje je na 370 ispitanika i provedeno je na Klinici za kirurgiju KBC-a Rijeka u razdoblju od 01.10.2017. do 30.04.2018.g. Na uzorku od 370 ispitanika Lichtenstein tehnika provedena je na 300, a Trabucco tehnika na 70 ispitanika. Istraživanje je provedeno retrospektivno, s time da su ispitanici operirani 6-8 mjeseci prije analize karakteristika kronične poslijeoperacijske boli u preponi. Od ukupnog broja operiranih ispitanika, fokus istraživanja su bili ispitanici s incidencijom kronične poslijeoperacijske boli u preponi. Od ukupnog broja ispitanika 18 (4,8 %) ispitanika je imalo kroničnu poslijeoperacijsku bol u preponi. Svi bolesnici koji su osjećali bol operirani su po Lichtenstein tehnici. Kod bolesnika koji su operirani po Trabucco tehnici nije bilo incidencije kronične poslijeoperacijske boli. Bolesnici koji su osjećali bol osjećali su bol blagog intenziteta. U zaključku, Trabucco tehnika smanjuje incidenciju kronične poslijeoperacijske boli u preponi.Characteristics and incidence of the chronic postoperative groin pain after the inguinal hernia surgery is the main subject of this paper. Its main goal is showing the incidence of the chronic postoperative pain in the Surgery Clinic of the Clinical Hospital Centre Rijeka in dependence on the use of the surgical technique. Research held place on Surgery Clinic of the Clinical Hospital Centre Rijeka on 370 subjects starting from October 1st 2017 and ending on April 30th 2018. On the sample of 370 subjects, Lichtenstein surgical technique is used on 300, and Trabucco surgical technique on 70 subjects. Research is held in retrospect, as subjects were operated 6-8 months before the analysis of the characteristics of the chronic postoperative groin pain. Of all analyzed subjects, main focus of the research were the subjects that showed the incidence of the chronic postoperative groin pain. Analysis of all subjects that participated in the research, 18 of them showed signs of postoperative groin pain (4,8 %). All subjects that had postoperative groin pain were operated with Lichtenstein surgical technique. Subjects operated with Trabucco surgical technique had no indication of postoperative groin pain. Results showed mild pain intensity with the subjects that had indication of pain. In conclusion, Trabucco surgical technique reduces the incidence of the chronic postoperative groin pain

THE INCIDENCE AND CHARACTERISTICS OF CHRONIC POSTOPERATIVE GROIN PAIN AFTER INGUINAL HERNIA REPAIR DEPENDING ON DIFFERENT SURGICAL TECHNIQUES

Incidencija i karakteristike kronične poslijeoperacijske boli nakon operacije preponske kile glavna su tema ovog rada. Cilj rada je prikazivanje incidencije kronične poslijeoperacijske boli u Klinici za kirurgiju Kliničkog bolničkog centra Rijeka u ovisnostii o upotrebi kirurške tehnike. Istraživanje je na 370 ispitanika i provedeno je na Klinici za kirurgiju KBC-a Rijeka u razdoblju od 01.10.2017. do 30.04.2018.g. Na uzorku od 370 ispitanika Lichtenstein tehnika provedena je na 300, a Trabucco tehnika na 70 ispitanika. Istraživanje je provedeno retrospektivno, s time da su ispitanici operirani 6-8 mjeseci prije analize karakteristika kronične poslijeoperacijske boli u preponi. Od ukupnog broja operiranih ispitanika, fokus istraživanja su bili ispitanici s incidencijom kronične poslijeoperacijske boli u preponi. Od ukupnog broja ispitanika 18 (4,8 %) ispitanika je imalo kroničnu poslijeoperacijsku bol u preponi. Svi bolesnici koji su osjećali bol operirani su po Lichtenstein tehnici. Kod bolesnika koji su operirani po Trabucco tehnici nije bilo incidencije kronične poslijeoperacijske boli. Bolesnici koji su osjećali bol osjećali su bol blagog intenziteta. U zaključku, Trabucco tehnika smanjuje incidenciju kronične poslijeoperacijske boli u preponi.Characteristics and incidence of the chronic postoperative groin pain after the inguinal hernia surgery is the main subject of this paper. Its main goal is showing the incidence of the chronic postoperative pain in the Surgery Clinic of the Clinical Hospital Centre Rijeka in dependence on the use of the surgical technique. Research held place on Surgery Clinic of the Clinical Hospital Centre Rijeka on 370 subjects starting from October 1st 2017 and ending on April 30th 2018. On the sample of 370 subjects, Lichtenstein surgical technique is used on 300, and Trabucco surgical technique on 70 subjects. Research is held in retrospect, as subjects were operated 6-8 months before the analysis of the characteristics of the chronic postoperative groin pain. Of all analyzed subjects, main focus of the research were the subjects that showed the incidence of the chronic postoperative groin pain. Analysis of all subjects that participated in the research, 18 of them showed signs of postoperative groin pain (4,8 %). All subjects that had postoperative groin pain were operated with Lichtenstein surgical technique. Subjects operated with Trabucco surgical technique had no indication of postoperative groin pain. Results showed mild pain intensity with the subjects that had indication of pain. In conclusion, Trabucco surgical technique reduces the incidence of the chronic postoperative groin pain

THE INCIDENCE AND CHARACTERISTICS OF CHRONIC POSTOPERATIVE GROIN PAIN AFTER INGUINAL HERNIA REPAIR DEPENDING ON DIFFERENT SURGICAL TECHNIQUES

Incidencija i karakteristike kronične poslijeoperacijske boli nakon operacije preponske kile glavna su tema ovog rada. Cilj rada je prikazivanje incidencije kronične poslijeoperacijske boli u Klinici za kirurgiju Kliničkog bolničkog centra Rijeka u ovisnostii o upotrebi kirurške tehnike. Istraživanje je na 370 ispitanika i provedeno je na Klinici za kirurgiju KBC-a Rijeka u razdoblju od 01.10.2017. do 30.04.2018.g. Na uzorku od 370 ispitanika Lichtenstein tehnika provedena je na 300, a Trabucco tehnika na 70 ispitanika. Istraživanje je provedeno retrospektivno, s time da su ispitanici operirani 6-8 mjeseci prije analize karakteristika kronične poslijeoperacijske boli u preponi. Od ukupnog broja operiranih ispitanika, fokus istraživanja su bili ispitanici s incidencijom kronične poslijeoperacijske boli u preponi. Od ukupnog broja ispitanika 18 (4,8 %) ispitanika je imalo kroničnu poslijeoperacijsku bol u preponi. Svi bolesnici koji su osjećali bol operirani su po Lichtenstein tehnici. Kod bolesnika koji su operirani po Trabucco tehnici nije bilo incidencije kronične poslijeoperacijske boli. Bolesnici koji su osjećali bol osjećali su bol blagog intenziteta. U zaključku, Trabucco tehnika smanjuje incidenciju kronične poslijeoperacijske boli u preponi.Characteristics and incidence of the chronic postoperative groin pain after the inguinal hernia surgery is the main subject of this paper. Its main goal is showing the incidence of the chronic postoperative pain in the Surgery Clinic of the Clinical Hospital Centre Rijeka in dependence on the use of the surgical technique. Research held place on Surgery Clinic of the Clinical Hospital Centre Rijeka on 370 subjects starting from October 1st 2017 and ending on April 30th 2018. On the sample of 370 subjects, Lichtenstein surgical technique is used on 300, and Trabucco surgical technique on 70 subjects. Research is held in retrospect, as subjects were operated 6-8 months before the analysis of the characteristics of the chronic postoperative groin pain. Of all analyzed subjects, main focus of the research were the subjects that showed the incidence of the chronic postoperative groin pain. Analysis of all subjects that participated in the research, 18 of them showed signs of postoperative groin pain (4,8 %). All subjects that had postoperative groin pain were operated with Lichtenstein surgical technique. Subjects operated with Trabucco surgical technique had no indication of postoperative groin pain. Results showed mild pain intensity with the subjects that had indication of pain. In conclusion, Trabucco surgical technique reduces the incidence of the chronic postoperative groin pain

Postoperative groin pain in patients operated with different surgical techniques for inguinal hernia repair

BACKGROUND: Today the most common complication of tension free techniques for inguinal hernia repair is postoperative chronic groin pain. METHODS: The study was undertaken at the Department of Surgery, Clinical Hospital Centre Rijeka, where 370 patients were considered who had undergone inguinal hernia repair 6-8 months prior to analysation of their chronic groin pain. The patients had been operated using one of the two different inguinal hernia repair techniques, 300 of them were operated according to Lichtenstein technique and 70 patients according to Trabucco technique. Inguinal nerves were identified and preserved in all patients who were operated. Patients who felt pain were invited to complete a Pain Quality Assessment Scale. RESULTS: In a group of patients who had undergone the Lichtenstein hernioplasty, 18 of them had chronic postoperative groin pain. On the other hand, in a group of 70 patients who were operated using a Trabucco technique, none of them experienced chronic postoperative groin pain. The Pain Quality Assessment Scale was divided into three sub-scales. The first subscale evaluates paroxysmal pain. The arithmetic mean for this cluster of items was 2, which classifies it as mild pain. The second subscale was representing the analysis of surface pain with the mean value 2, 02 and was recognized also as mild. Deep pain was represented in the third subscale with the arithmetic mean of 1, 5 which also pertained to mild pain. CONCLUSIONS: Using Lichtenstein technique in inguinal hernia repair could increases the incidence of postoperative groin pain