Huma Azam Malik, Ghansham, Asma Mumtaz, Farhat Bano.
Postoperative Pain in Laparoscopic Transabdominal Preperitoneal Versus Lichtenstein Open Mesh Repair Techniques for Inguinal Hernia.
J Surg Pak Jan ;22(3):79-82.

Objective: To compare mean postoperative pain and analgesic consumption in laparoscopic Transabdominal preperitoneal (TAPP) versus Lichtenstein open mesh repair techniques for inguinal hernia. Study design: Randomized controlled trial. Place & Duration of study: Surgical Unit-I Jinnah Postgraduate Medical Centre (JPMC) Karachi ,from Novmber 2013 to April 2015. Methodology: A total of 162 patients with inguinal hernia were included in the study. Group A underwent TAPP technique repair and group B Lichtenstein open mesh repair. Patients in both the groups were given injection diclofenac 50mg 12 hourly after surgery. Early postoperative pain was assessed on Visual Analogue Scale (VAS) score. Analgesic consumption was was defined as more than 2 doses in the first 24 hours or more than 3 score on visual analogue scale. Final outcome in terms of mean postoperative pain, and analgesic consumption, was assessed at 24 hours. Results: Out of total 81 patients underwent TAPP repair and 81 open hernia repair. Mean pain score in TAPP group was 39.38+5.811 while patients operated through open technique 60.37+6.246. Significant difference was observed between two groups in terms of mean postoperative pain and analgesic consumption. Among TAPP group 9 (11.1%,) patients while in open group 3 ( 40.7%) patients had analgesic consumption. Conclusion: Patients who underwent TAPP laparoscopic inguinal hernia repair had significantly low mean postoperative pain and hence analgesic consumption requirement as compared to open Lichteinstein mesh reapir.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com