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ASSESSMENT OF THE PAIN & HYPOESTHESIA AFTER OPEN AND LAPAROSCOPIC INGUINAL HERNIA REPAIR

Dr Naveed Sultan, Dr Abubaker, Dr Muhammad Nadeem

Objective: The incidence of pain is very important result after the inguinal hernia repair and objective procedures are not able to assess this variable. The aim of this research work is to examine the hypoesthesia & pain after the inguinal hernia repair with the utilization of different kinds of surgeries as laparoscopic, open suture & open mesh. Methodology: In this study 86 patients were the part of this research work with follow-up median of one year. We performed the procedure of open suture in 50 patients forming Group-A, repair procedure of open mesh in 15 patients forming Group-B & procedure of laparoscopic repair in 21 patients as a part of Group-C. The assessment of the pain & hypoesthesia carried out with the utilization of the von Frey mono-filaments. Short Form 36 was in use for the investigation of the QoL (Quality of Life). Results: The occurrence of pain minimum once in a week was present in 15.30% (n: 7) patients of Group-A, in 23.0% (n: 5) participants of Group-B & in 13.30% (n: 6) subjects of Group-C. Site & seriousness of the hypo-sensibility were available with increased values after repair of open non-mesh & mesh in comparison to those after the repair through laparoscopy. Hypo-sensibility in the patients who underwent laparoscopic hernia repair was available with association with the pain after the surgery. Kinds of the pain after surgery were somatic in 51.0% (n: 19), neuropathic in 25.0% (n: 9) & visceral in 8.0% (n: 3) patients with no important disparities among 3 groups. Conclusions: Prevalence of the hypoesthesia in the subjects who experienced hernia repair using laparoscopy was much lower as compare to the patients who underwent hernia repair by open procedure. The incidence of hypoesthesia after the laparoscopy but not after the method of open-repair as much association with the pain after surgery. The most vital standards for the evaluation of the hypoesthesia as well as pain in the patients who underwent hernia repair allowing the comparison of various operational procedures. Keywords: Hypoesthesia, Surgery, Hernia, Laparoscopy, Inguinal, Visceral Pain.

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