COMPARATIVE EVALUATION OF PAIN SYNDROMEOF OPERATED PATIENTS WITH INGUINAL HERNIAS

Abstract

A comparative evaluation of operated patients with inguinal hernia in Medical Center Semey State
Medical University from 2008 to 2015 year was performed. Patients of the main group were operated by
our developed the method. The proposed method has advantages over traditional methods of plastics,
is a universal intervention for large inguinal-scrotal and recurrent inguinal hernias. The technique allows
to strengthen simultaneously the anterior and posterior wall of the inguinal canal, the inguinal ligament
and the femoral canal, which leads to less pain in the postoperative period and the absence of relapses.
Application of the method makes possible to reduce the number of postoperative complications and
improve long-term results.
Aim - to analyze the pain intensity in early postoperative period of patients with recurrent and large
inguinal-scrotal hernias.
Materials and methods. We performed the analysis of surgical treatment of 359 patients with
recurrent and inguinal-scrotal hernias operated tension-free hernioplastics by our developed method in
comparison with the plastic of the posterior wall of the inguinal canal by Bassini. All patients are male.
The age of operated patients between 21-87 years (Me-58,0; Q1-50,0; Q3-67,0). In the main group (MG)
was included 77 patients, from them in 7 patients - II type, in 17 - IIIa type, in 33 patients - IIIb type, in 6
patients- IVа type, in 14 – IVb type of inguinal hernias. In the Group of Clinical Comparison (GCC) was
included 282 patients, where 29 patients had II type of inguinal hernia, in 62 patients – IIIа, in 170
patients - IIIb type, in 7 patients - IVа типа, in 14 patients - IVb type of inguinal hernia.
Results. On the 7th day after operation in the Main Group 70 (90.9%) patients didn’t feel the pain.
Minor pain persisted in 5 (9.1%) and moderate- in 2 (2.6%) operated patients. In the Group of Clinical
Comparison on the 7th day after the operation 197 (69.9%) patients didn’t feel the pain, 65 (23.1%)
patients complained of minor pain. A moderate pain - in 20 (7%) of the operated patients.
Conclusion. Implementation of hernia repair in patients with abdominal hernias using biologically
active suture material provides improved results of operation, as decreased pain syndrome in post
operative period.