Abstract：
INTRODUCTION:Although the unique comparison standard of primary inguinal hernia repair is the Lichtenstein technique (LICH), totally extra-peritoneal (TEP) laparoscopic inguinal hernioplasty shows, although not systematically demonstrated, clear advantages as regards, perceived pain, analgesic use, and recovery of daily life activities. OBJECTIVE:To demonstrate the differences in perceived pain, analgesic use, and recovery of daily life activities between Lichtenstein hernioplasty and TEP laparoscopy. MATERIAL AND METHODS:A prospective, non-randomised observational study was conducted on 169 consecutive patients subjected to LICH vs TEP. The LICH was performed using local anaesthesia and sedation, and the TEP with general anaesthesia, both being performed as ambulatory surgery. The points of analysis included: analgesic use, level of perceived pain, and recovery of daily life activities. RESULTS:Analgesic use was less in the TEP group for post-operative day 4 and 5, similar to the perceived pain. As regards recovery of daily life activities, the significantly minimum differences were achieved on post-operative day 7 in favour of TEP. CONCLUSIONS:Our study shows a significant difference as regards perceived pain and analgesic use, as well as in the level of recovery of daily life activities, when comparing both groups. TEP hernioplasty should also be considered in the non-complicated primary unilateral inguinal hernia.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Roig MP,Bertomeu CA,Delgado MC,Espinosa RG,Santafé AS,Giner MCdoi
10.1016/j.ciresp.2011.02.006subject
Has Abstractpub_date
2011-10-01 00:00:00pages
524-31issue
8eissn
0009-739Xissn
1578-147Xpii
S0009-739X(11)00112-6journal_volume
89pub_type
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