Engelsk titel: Pain and rehabilitation after inguinal hernia repair in adult male patients
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Författare:
Johannessen HO
;
Johnson E
;
Clausen T
;
Mjåland O
Email: hans-olaf.johannessen@ulleval.no
Språk: Nor
Antal referenser: 10
Dokumenttyp:
RCT
UI-nummer: 04081873
Sammanfattning
INTERPRETATION : The study showed no clinical advantage of a tension-free method in terms of rehabilitation and post-hernia repair after the first postoperative week. Because of the relatively high incidence of late treatment-related pain, non-symptomatic adult patients should not be referred for inguinal hernia surgery. The primary sick leave period should not exceed three weeks.
RESULTS : The open mesh technique generated less pain during the first postoperative week. Chronic light to moderate pain occurred in 20% of patients irrespective of surgical method. A sick leave of one to three weeks was sufficient in 20 out of 27 patients.
MATERIAL AND METHODS : Forty male patients were prospectively randomized to conventional (McVay) or open mesh repair. Self-assessment of postoperative pain was based on a four-step verbal scale. Patients and the physicians conducting the study were blinded to the surgical method. Clinical follow-up was performed twice, after four weeks and median 21 months.
BACKGROUND : Increased awareness of post-hernia repair pain motivated a study of pain and rehabilitation after day surgery.