Pain after groin hernia repair

Callesen, Torben; Bech, K; Nielsen, Rolf; Andersen, Jens T.; P, Hesselfeldt; Roikjær, O; Kehlet, Henrik

doi:10.1046/j.1365-2168.1998.00864.x

Cited by 98 publications

(65 citation statements)

References 11 publications

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“…These result are also observed in the study of Shaikh et al 16 Less postoperative pain helped in early recovery and return to work as observed in other studies. [17][18] This result was supported by Shaikh and his colleagues 16 This decrease in the postoperative pain helped in early recovery and return to work. 17,18 …”

Section: Discussionsupporting

confidence: 54%

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Outcome of Mesh Anchoring Using Stainless Steel Skin Staples Versus Polypropylene Suturing in Lichtenstein’s Tension Free Inguinal Hernia Repair

Damani¹

2016

J Surg Pak

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Section: Discussionsupporting

confidence: 54%

“…[17][18] This result was supported by Shaikh and his colleagues 16 This decrease in the postoperative pain helped in early recovery and return to work. 17,18 …”

Section: Discussionsupporting

confidence: 54%

Outcome of Mesh Anchoring Using Stainless Steel Skin Staples Versus Polypropylene Suturing in Lichtenstein’s Tension Free Inguinal Hernia Repair

Damani¹

2016

J Surg Pak

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“…32 A commonly perceived problem of local anaesthetic inguinal hernia repair is the pain of infiltration. This can be extreme enough for patients to be dissatisfied with the procedure 33 and decline further local anaesthetic surgery. 34 Our own experience has shown that addition of sodium bicarbonate to buffer local anaesthetic solution significantly reduces the perceived pain of inguinal hernia repair, both during the administration of the local anaesthetic solution and during the procedure itself.…”

Section: Causative Factormentioning

confidence: 99%

Inguinal Hernia Repair: Local or General Anaesthesia?

Pandanaboyana

Woodward

2007

annals

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INTRODUCTION Specialist hernia centres and public hospitals with a dedicated hernia service (Plymouth Hernia Service) have achieved remarkable results for inguinal hernia repair with the use of local anaesthesia and set the standards for groin hernia surgery. There is minimal data in the literature as to whether such results are reproducible in the National Health Service in the UK.PATIENTS AND METHODS A retrospective analysis of all inguinal hernia repairs performed in one district general hospital over a 9-year period was performed. The outcome measures were type of anaesthesia used, early and late postoperative complications and recurrence. A postal questionnaire survey was conducted to obtain satisfaction rates. In addition, a postal questionnaire survey of consultant surgeons in Wales was performed to determine the use of local anaesthesia and day-case rates for inguinal hernia repair. RESULTS A total of 577 hernia repairs were performed during the study period. Of these, 369 (64%) repairs were performed under local anaesthesia (LA) and 208 (36%) under general anaesthesia (GA). Day-case repair was achieved in 70% (400) of cases. The day-case rates were significantly higher under LA compared to GA (82.6% versus 42.6%; P < 0.05). Patients operated under LA had lower postoperative analgesic requirements and lower incidence of urinary retention compared with the GA group ( P < 0.05). There were 7 (1.2%) recurrences at a median follow-up of 5.1 years (range, 10.3-2.5 years). Postal questionnaire revealed higher satisfaction rates with LA compared to GA repair. Only 15% of surgeons in Wales offer the majority of their patients local anaesthetic repair.CONCLUSIONS The use of LA results in increased day-case rates, lesser postoperative analgesic requirements and fewer micturition problems. The excellent results obtained by specialist hernia centres can be reproduced by district general hospitals by increasing the use of LA to repair inguinal hernias.

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“…This can be extreme enough for patients to be dissatisfied with the procedure [17]. Another potential problem of LA inguinal hernia repair is toxicity especially in bilateral hernioplasty and obese patients who require large volumes.…”

Section: Discussionmentioning

confidence: 99%