Postoperative Pain After Laparoscopic Repair of Primary Umbilical Hernia: Titanium Tacks Versus Absorbable Tacks: A Prospective Comparative Cohort Analysis of 80 Patients With a Long-term Follow-up
| Autor: | Robbert J. de Haas, Johan T. F. J. Raymakers, Srdjan Rakic, Vincent M. A. Stirler, Erol G. Nallayici |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale 030230 surgery Abdominal wall Cohort Studies 03 medical and health sciences 0302 clinical medicine Absorbable Implants medicine Humans Clinical significance Hernia Laparoscopy Herniorrhaphy Fixation (histology) Aged Pain Measurement Titanium Pain Postoperative medicine.diagnostic_test Sutures business.industry Middle Aged medicine.disease Surgery Umbilical hernia medicine.anatomical_structure Treatment Outcome Anesthesia 030211 gastroenterology & hepatology Female business Hernia Umbilical |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 27(6) |
| ISSN: | 1534-4908 |
| Popis: | We investigated if a novel fixation device with absorbable tacks (Securestrap) causes less early and chronic postoperative pain after laparoscopic repair with a double-crown mesh fixation of ventral abdominal wall hernia when compared with the standard fixation device with nonabsorbable titanium tacks (Protack). The primary outcome measure was early postoperative pain at 2, 6, and 12 weeks postoperatively. The secondary outcome measure was chronic postoperative pain measured ≥18 months after surgery. Pain levels were assessed using a visual analog scale ranging from 0 (no pain) to 100 mm (excruciating pain). Early postoperative pain was significantly lower in group 2 (absorbable tacks) at 6 (2 vs. 5; P=0.008) and 12 weeks (1 vs. 2; P=0.008) but not at follow-up (6 vs. 11; P=0.21). Given the very low visual analog scale scores in both groups, the clinical significance of these finding remains open to discussion. |
| Databáze: | OpenAIRE |
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