Evaluation of postoperative pain in ventral herniorraphy using 3 different techniques
Author(s): Aybala Yıldız and Alp Yıldız
Abstract:Backround: Pain is an unpleasant sensory and emotional experience associated with acute or potential tissue damage. With this study we compare the postoperative pain scores of 3 ventral hernia repair techniques.
Patients and Methods: This was a clinical study done in the department of surgery in a tertiary care hospital. A total of 62 patients included the study.
Results: The VAS scores showed statistically significant difference between all groups. On 4th hour mean VAS scores were 4.1/6.8/8.9 respectively DM/RPS/PMR groups(P<0.05). On 10th hour VAS scores were 3.2/5.9/8.0 respectively DM/RPS/PMR groups(P<0.05). On 24th hour VAS scores were 2.1/5.1/6.7 respectively DM/RPS/PMR groups(P<0.05).
Conclusion: While the primary repair and prolene mesh placement with high inraabdominal pressure leads more aggressive and wide dissection of soft tissues we think that a tension-free repair with peritoneal mesh causes significantly lower postoperative pain. As thinking the importance of reducing postoperative pain, and in the light of our study we think that hernia repair with dual mesh placement is a very considerable option.