Evaluation of Chronic Postoperative Pain in Hernioplasty Tapp versus Lichtenstein by Residents View PDF

^*Garcias L
Department Of Medicine, FCM, UNC, Hospital Nacional De Clínicas, Argentina

^*Corresponding Author:

Garcias L
Department Of Medicine, FCM, UNC, Hospital Nacional De Clínicas, Argentina
Email:lucasgarcias12@hotmail.com

Published on: 2023-02-25

Abstract

The incidence of inguinal hernia throughout life is variable but more prevalent in males. Today there is no superior technique for reducing chronic postoperative pain, which is the greatest morbidity afflicts patients. That is why we carried out a brief comparative analysis, where we evaluated the incidence of chronic pain between conventional versus laparoscopic rehearsal of hernia pathology.

Keywords

Chronic Postoperative Pain; Hernioplasty Tap; Lichtenstein

Introduction

The appearance of inguinal hernia throughout life is 27% to 43% in men and 3–6% in women [1]. A standard repair technique for all inguinal hernias does not exist. The mesh repair is recommended as the first option, either by an open or laparoscopic procedure, provided that the surgeon has sufficient experience in the specific procedure [2]. The Lichtenstein technique is considered the reference standard to repair the open inguinal hernia, with recurrence rates of less than 1%.1 Morbidity is mainly related to chronic pain that can occur in up to 63%of patients and affects the quality of life by 5-10% [3]. The increase in inguinal hernioplasty Laparoscopic has aimed to reduce chronic pain rates without compromising recurrence rates.
There is a lot of speculation about the cause of the chronic disease after hernioplasty, and several risk factors have been identified, such as recurrence, patient age, cremaster muscle resection, surgeon’s experience, and the presence of preoperative pain. The influence, however, of different surgical techniques remains unclear [4].
The objective of this study is to confirm the hypothesis that the TAPP approach has a superior result that the Lichtenstein technique when comparing the quality of life of patients who underwent inguinal hernioplasties.