Multicentric evaluation by Verbal Rate Scale and EuroQoL-5D of early and late post-operative pain after TAPP and TEP procedures with mechanical fixation for bilateral inguinal hernias

作者：Zanghi Antonio; Di Vita Maria^*; Lo Menzo Emanuele; Castorina Sergio; Cavallaro Andrea Sebastiano; Piccolo Gaetano; Grosso Giuseppe; Cappellani Alessandro

来源：Annali Italiani di Chirurgia, 2011, 82(6): 437-442.

• EQ-5D
• Inguinal hernia
• Postoperative pain
• TAPP
• TEP
• Verbal Rate Scale

Multicentric evaluation by Verbal Rate Scale and EuroQoL-5D of early and late post-operative pain after TAPP and TEP procedures with mechanical fixation for bilateral inguinal hernias
Aimed to evaluate the postoperative pain and other complications among two cohorts of patients undergone transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) laparoscopic hernia repairs with mechanical fixation, the chart of 305 TAPP and 134 TEP for bilateral not recurrent inguinal hernias were reviewed. The postoperative pain was assessed by using the Verbal Rating Scale (VRS) at one week, one month, 3 months ad six months postoperatively. A subgroup of 60 patients was also administered the QoL EQ-5D questionnaire and follow up for at least 6 months. We found a statistically significant difference in the first day (p = 0.001), in the 7(th) day (p = 0.002), 30(th), and 90(th) day (p = 0.008) between patients perception of pain in TAPP group and TEP group, but after the 180(th) day there was not any considerable distinction. On the short term the postoperative pain seems slightly lesser in TEP group.

• 出版日期2011-12