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Article: Acute pain after endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Multivariate analysis of predictive factors

TitleAcute pain after endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Multivariate analysis of predictive factors
Authors
KeywordsAge
Hernia
Inguinal hernia
Postoperative pain
Sex
Totally extraperitoneal (TEP) hernioplasty
Issue Date2004
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy And Other Interventional Techniques, 2004, v. 18 n. 1, p. 92-96 How to Cite?
AbstractBackground: Pain is the most common complaint after inguinal hernia surgery. The present study was undertaken to evaluate the significance of various perioperative clinical factors on the severity of postoperative pain following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty. Methods: Between November 1999 and December 2002, 509 patients who underwent unilateral (n = 389) and bilateral (n = 120) TEP were recruited for this study. There were 491 men and 18 women. Severity of postoperative pain at rest and on coughing was assessed by a linear analogue pain score (scale, 0-10) on a daily basis after operation. Univariate and multivariate analyses were performed to identify the significant independent factors affecting pain. Results: By univariate analysis, pain scores at rest were significantly higher in young (≤ 65 years) female patients, as well as patients who underwent unilateral and day case TEP. Clinical factors associated with a significantly higher pain score on coughing included mesh fixation by stapling, female sex, and age (≤ 65 years). Other factors, including unilateral vs bilateral TEP, seroma formation, direct vs indirect hernia, primary vs recurrent hernia, and operative time, had no impact on postoperative pain. On multiple regression analysis, age and sex were found to be independent predictive factors for mean daily pain score at rest. Independent factors influencing mean pain score on coughing included age, sex, and prosthetic stapling. Conclusions: Patient age and sex are the most significant factors determining the degree of pain after TEP. Analgesic therapy should therefore be adjusted in accordance with the age of the patient. With regard to operative factors, avoidance of prosthetic stapling might help to reduce the severity of pain on coughing.
Persistent Identifierhttp://hdl.handle.net/10722/84514
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.date.accessioned2010-09-06T08:53:51Z-
dc.date.available2010-09-06T08:53:51Z-
dc.date.issued2004en_HK
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2004, v. 18 n. 1, p. 92-96en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84514-
dc.description.abstractBackground: Pain is the most common complaint after inguinal hernia surgery. The present study was undertaken to evaluate the significance of various perioperative clinical factors on the severity of postoperative pain following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty. Methods: Between November 1999 and December 2002, 509 patients who underwent unilateral (n = 389) and bilateral (n = 120) TEP were recruited for this study. There were 491 men and 18 women. Severity of postoperative pain at rest and on coughing was assessed by a linear analogue pain score (scale, 0-10) on a daily basis after operation. Univariate and multivariate analyses were performed to identify the significant independent factors affecting pain. Results: By univariate analysis, pain scores at rest were significantly higher in young (≤ 65 years) female patients, as well as patients who underwent unilateral and day case TEP. Clinical factors associated with a significantly higher pain score on coughing included mesh fixation by stapling, female sex, and age (≤ 65 years). Other factors, including unilateral vs bilateral TEP, seroma formation, direct vs indirect hernia, primary vs recurrent hernia, and operative time, had no impact on postoperative pain. On multiple regression analysis, age and sex were found to be independent predictive factors for mean daily pain score at rest. Independent factors influencing mean pain score on coughing included age, sex, and prosthetic stapling. Conclusions: Patient age and sex are the most significant factors determining the degree of pain after TEP. Analgesic therapy should therefore be adjusted in accordance with the age of the patient. With regard to operative factors, avoidance of prosthetic stapling might help to reduce the severity of pain on coughing.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_HK
dc.subjectAgeen_HK
dc.subjectHerniaen_HK
dc.subjectInguinal herniaen_HK
dc.subjectPostoperative painen_HK
dc.subjectSexen_HK
dc.subjectTotally extraperitoneal (TEP) hernioplastyen_HK
dc.titleAcute pain after endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: Multivariate analysis of predictive factorsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=18&issue=1&spage=92&epage=96&date=2004&atitle=Acute+pain+after+endoscopic+totally+extraperitoneal+(TEP)+inguinal+hernioplasty:+multivariate+analysis+of+predictive+factorsen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-003-9068-yen_HK
dc.identifier.pmid14625741-
dc.identifier.scopuseid_2-s2.0-1642580560en_HK
dc.identifier.hkuros85924en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1642580560&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue1en_HK
dc.identifier.spage92en_HK
dc.identifier.epage96en_HK
dc.identifier.isiWOS:000220527600020-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK

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