Determinant factors of pain after ambulatory inguinal herniorrhaphy: a multi-variate analysis

作者: H. Lau , F. Lee

DOI: 10.1007/BF01576159

关键词:

摘要: Pain is common after inguinal herniorrhaphy. The objective of our study was to evaluate the significance various clinical factors on level post-operative pain ambulatory Between January, 1996 and December, 1998, 239 hernia repair patients were recruited. Operative techniques included nylon darn (n=152), modified Bassini (n=56), prolene mesh hernioplasty (n=30). Linear analogue scores-ranging in value from o 10- assessed by telephone interviews first third days. Uni-variate multi-variate analyses performed identify significant independent determinant affecting severity pain. Clinical studied age, sex, operative technique, anatomy complication(s). By uni-variate analysis, age≤50 years indirect associated with a significantly higher score postoperative day 1. On 3, years, an reported score. Following herniorrhaphy, multiple regression analysis showed that age only predictive factor days 1 3. In conclusion, not affected surgical morbidity. Only had influence following Therefore, patient should be taken into consideration when prescribing analgesics.

参考文章(19)
S. J. Hunter, M. J. Spittal, A comparison of bupivacaine instillation and inguinal field block for control of pain after herniorrhaphy. Annals of The Royal College of Surgeons of England. ,vol. 74, pp. 85- 88 ,(1992)
Edwin B, Solhaug Jh, Hallerbäck B, Glise H, Johansson B, Stubberöd A, Janbu T, Preoperative local infiltration with ropivacaine for postoperative pain relief after inguinal hernia repair. A randomised controlled trial. European Journal of Surgery. ,vol. 163, pp. 371- 378 ,(1997)
CJ Filipi, F Gaston-Johansson, PJ McBride, K Murayama, J Gerhardt, DA Cornet, RJ Lund, D Hirai, R Graham, K Patil, R Fitzgibbons, Jr, RD Gaines, An assessment of pain and return to normal activity: Laparoscopic herniorrhaphy vs open tension-free Lichtenstein repair Surgical Endoscopy and Other Interventional Techniques. ,vol. 10, pp. 983- 986 ,(1996) , 10.1007/S004649900219
Callesen, Bech, Nielsen, Andersen, Hesselfeldt, Roikjaer, Kehlet, Pain after groin hernia repair British Journal of Surgery. ,vol. 85, pp. 1412- 1414 ,(1998) , 10.1046/J.1365-2168.1998.00864.X
Torben Callesen, Karsten Bech, Jens Andersen, Rolf Nielsen, Ole Roikjaer, Henrik Kehlet, Pain after primary inguinal herniorrhaphy: influence of surgical technique. Journal of The American College of Surgeons. ,vol. 188, pp. 355- 359 ,(1999) , 10.1016/S1072-7515(98)00316-0
A. G. Pedersen, O. B. Petersen, P. Wara, H. Rønning, N. Qvist, S. Laurberg, Randomized Clinical Trial of Laparoscopic Versus Open Appendicectomy British Journal of Surgery. ,vol. 88, pp. 200- 205 ,(2002) , 10.1046/J.1365-2168.2001.01652.X
Henrik Kehlet, J??rgen B. Dahl, The value of "multimodal" or "balanced analgesia" in postoperative pain treatment. Anesthesia & Analgesia. ,vol. 77, pp. 1048- 1056 ,(1993) , 10.1213/00000539-199311000-00030
Irving L. Lichtenstein, Alex G. Shulman, Parviz K. Amid, Michele M. Montllor, The tension-free hernioplasty American Journal of Surgery. ,vol. 157, pp. 188- 193 ,(1989) , 10.1016/0002-9610(89)90526-6
R. Kawji, A. Feichter, N. Fuchsjäger, M. Kux, Postoperative pain and return to activity after five different types of inguinal herniorrhaphy Hernia. ,vol. 3, pp. 31- 35 ,(1999) , 10.1007/BF01576739
Bernadette Th. Veering, Anton G. L. Burm, Jack W. van Kleef, Pim J. Hennis, Johan Spierdijk, Epidural anesthesia with bupivacaine: effects of age on neural blockade and pharmacokinetics Anesthesia & Analgesia. ,vol. 66, pp. 589- 593 ,(1987) , 10.1213/00000539-198707000-00001