ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    To evaluate the chronic post-herniorrhaphy pain


    Dr. Deepak Shrivastava, Dr Omkar Thakur, Dr. Sharad Kumar Sahu , Dr. Pankaj Gharde, Dr. Yogendra Singh Wadiwa
    JCDR. 2023: 3734-3742

    Abstract

    Pain that persists after surgery is a unique subtype of the more general condition known as chronic pain. Chronic postoperative pain may develop after a wide variety of surgical procedures, including amputations, thoracotomies, and inguinal hernia operations, among others. Inguinal hernia repair has been the subject of much research; yet, the treatment of the persistent discomfort that results from this procedure is still challenging. Aims and objective: To evaluate the chronic post-herniorrhaphy pain Material and methods: In this research, participants were patients who had opted to undergo elective inguinal hernioplasty. After a period of six months, there was a total of 100 patients who attended their follow-up appointments. Every patient received the Lichtenstein surgery, which included the use of a prolene mesh measuring 8 by 15 centimetres. Sutures made of polydioxanone (PDS) were used to secure the mesh, and the skin was closed in layers. The level of discomfort was evaluated using the Visual Analog Scale (VAS) before to surgery, as well as on days 1, 2, and 7, and at the end of six months using a questionnaire. Pain was rated as mild if it received a VAS score of 1–3, moderate if it received a VAS score of 4–7, and severe if it received a VAS score of >7. Results: Our patients were mostly male (98%), with an average age of 44.63±5.61 years. Chronic discomfort was evident at six-month follow-up in 68 individuals, accounting for 68% of all patients receiving hernia repair. When patients were classified as having mild (1-3), moderate (4-7), or severe pain (>7) based on their VAS score, the majority, 90%, had mild pain, 8% had moderate pain, and fewer than 2% had severe pain. Chronic pain occurred in 50% of individuals whose symptoms lasted fewer than six months. 68% of patients with symptoms lasting more than six months developed chronic pain. At the 5% confidence level, symptoms lasting more than six months had a significant impact on the development of chronic pain (p = 0.04).

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    Volume & Issue

    Volume 14 Issue 1

    Keywords