The Contrast Of Prognosis And Chronic Pain After Different Groin Hernia Surgical Methods

Inguinal hernias are protrusions of abdominal cavity contents through the inguinal canal. It is estimated that 5%-10% of the population will develop an abdominal wall hernia. Inguinal hernias are more likely to occur in males than females. People who are obese, have lost a great deal of weight, or have had abdominal surgery are at higher risk for hernias. The risk also increases with age.. the hernia repair are the most common type of general surgery. In the UK, approximately 70,000 surgical repairs of IHR are performed each year. In the United States, over 700,000 hernia repairs are carried out annually. Pain, especially chronic pain after inguinal hernia repair is most ignored but is the most familiar syndrome. Most investigations focus on the prevention of hernia recrudescence, which is easy.However, pain is more usual than recrudescence, which makes patients more weakness, more lower quality of life. In the United States, about 696,000 hernia repairs are performed in 1996, and the incidence rate of chronic pain is 5%-15%, which means 34,800 patients suffering annual. It is a great number for this benign disease.With the development of new technology, hernia relapse rate following repair surgery have a noticeably decline, and more people pay attention to groin area chronic pain and a series of obvious complications related to the quality of life healthily. This study aims to assess the quality of life following inguinal hernia repair, also research the cause and prevention of chronic pain.METHODSThe information of 288 examples hernia operation in the first hospital of da qing oil field are collected from october 1998 to october 2008. there is 131 men and 14 women cases have been operated with no tension hernia repair. the average age (55.2±4.5) years, the middle age is 56.22 old; Traditional hernia repair follow-up 143 cases, which include 128 men and 15 women. the average age (63.2±5.6) years, middle age 64.5 old. Basing on the hernia classification of the surgery and medical association for hernia inguinal canal,121 belong to type I,105 cases typeⅡ, hernia typeⅢ37 cases, and typeⅣ25 cases.Operation:(1) traditional method for hernia repair; (2) no tension for hernia repair; (3) laparoscopic groin hernia repair. The nerves are dealt with in the operation:115 examples to protect ilium groin nerve, ilium under abdomen nerves, and reproduction thigh nerve, another 30 cases have no nerve exposure and protection. By follow-up visit including the telephone return and outpatient visit, and refer to case history, the questionnaires are . completed.Follow-up time last at least a year. The follow-up includes postoperative complications, the pain after operation, and whether recur.RESULTSIn the group of no tension hernia repair,15 cases,10.3% of total, have existed persistently groin,and or inside thigh, and or perineum acrimony pain. groin incision persistent pain 6 cases; groin incision with legs at the area of skin discharge of them have four; Is in a knot in the excitement of the three cases, for example, a pain in the groin and testicles smarting with testicular atrophy one example. Hernia relapse following repair surgery have five examples, about 3%; postoperative infection have 3 cases, about 2%; groin hematoma have 2 cases, about 1%.The traditional hernia repair group groin incision persistent pain 16 cases,11.2% of total; Inguinal incision persistent stinging 8; groin incision with his legs at the area of skin discharge of them have four; is in a knot in the excitement of the two cases of 2. Hernia relapse following repair surgery have 13 examples, about 9%; postoperative infection have 12 cases, about 8%; groin hematoma have 6 cases, about 4%.There is no marked difference in no tension hernia repair group and tradition hernia repair group.X2 as 0.05, P>0.05. There is dramaticlly difference in postoperative complications including relapse rate, infection and groin hematoma. P<0.05. CONCLUSIONSTwo groups of patients were follow-up visit after surgery. In the group undergoing free-tension hernia repair,15 (10.3%) patients suffered chronic pain. The other group undergoing traditional hernia repair,16 (11.2%) patients suffered chronic pain.The difference between two groups have no statistics meaning.In the chronic pain extent, the traditional hernia repair and no tension hernia repair have no differences.In postoperative complications including relapse rate, infection and groin hematoma, no tension hernia repair group below to traditional hernia repair group.