期刊文献+

腹腔镜下腹股沟疝修补术后疼痛调查 被引量:17

Pain investigation after laparoscopic inguinal hernia repair
原文传递
导出
摘要 目的研究腹腔镜下经腹腹膜前疝修补术(TAPP)后腹股沟疝患者疼痛情况及对日常活动的影响。方法收集2014年1~12月中南大学湘雅医院,90例采用TAPP治疗的腹股沟疝患者通过腹股沟疼痛调查表(IPQ)了解术后1个月时的疼痛情况的资料,并对相关因素进行分析。结果本组患者均顺利完成腹腔镜手术,无中转开放手术。中位手术时间75 min。术后第2天疼痛视觉模拟评分为(2.0±0.7)分。术后1个月,中位IPQ评分为2.5分(0~8分)。80%的患者诉有不同程度的疼痛。结论采用TAPP治疗腹股沟疝术后1个月时,患者的疼痛较为轻微,但疼痛对日常活动的影响仍然十分普遍。 Objective To investigate the pain after laparoscopic inguinal hernia repair and its impact on the daily activity. Methods A total of 90 cases of inguinal hernia with laparoscopic TAPP in Xiangya Hospital from January 2014 to December 2014 were enrolled and analyzed. Inguinal pain questionnaire( IPQ) was used to collect the pain data at 1 month after surgery. Results All cases completed the operations successfully,without conversion to the open surgery. The median operation time was 75 minutes. The Visual Analogue Scale on the first postoperative day was( 2. 0 ± 0. 7). At 1 month after surgery,the median IPQ score was 2. 5( range 0 to 8). Eighty percent of the patients complained of pain.Conclusion Although the pain intensity was mild at 1month after laparoscopic groin hernia repair,the interference of pain on daily activity was still quite common.
出处 《中华疝和腹壁外科杂志(电子版)》 2015年第5期53-54,共2页 Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词 腹股沟 腹腔镜检查 疝修补术 腹股沟疼痛调查表 Hernia inguinal Laparoscopy Herniorrhaphy Inguinal pain questionnaire
  • 相关文献

参考文献12

  • 1Peitsch WKJ. A modified laparoscopic hernioplasty (TAPP) is the standard procedure for inguinal and femoral hernias: a retrospective 17-year analysis with 1123 hernia repairs[ J3. Surg Endose, 2014, 28(2) : 671-682.
  • 2Dahlstrand U, Sandblom G, Nordin P, et al. Chronic pain after femoral hernia repair: a cross-sectional study[J]. Ann Surg, 2011, 254(6) : 1017-1021.
  • 3Dahlstrand U, Sandblom G, Ljungdahl M, et al. TEP under general anesthesia is superior to Lichtenstein under local anesthesia in terms of pain 6 weeks after surgery: results from a randomized clinical trial [J]. Surg Endosc, 2013, 27(10) : 3632-3638.
  • 4Kleidari B, Mahmoudieh M, Yaribakht M, et al. Mesh fixation in TAPP laparoscopic hernia repair: introduction of a new method in a prospective randomized trial[J]. Surg Endesc, 2014, 28(2) : 531-536.
  • 5Franneby U, Gunnarsson U, Andersson M, et al. Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair[J]. Br J Surg, 2008, 95(4): 488-493.
  • 6Franneby U, Sandblom G, Nordin P, et al. Risk factors for long-term pain after hernia surgery[J]. Ann Surg, 2006, 244(2) : 212-219.
  • 7Loos M J, Houterman S, Scheltinga MR, et al. Evaluating posthemiorrhaphy groin pain: visual analogue or verbal rating scale [J]. Hernia, 2008, 12(2) : 147-151.
  • 8Campanelli G, Bertocchi V, Cavalli M, et al. Surgical treatment of chronic pain after inguinal hernia repair [ J ]. Hernia, 2013, 17 ( 3 ) : 347-353.
  • 9陈鑫,李健文.从循证医学角度谈腹腔镜腹股沟疝修补术20年进展[J].中国实用外科杂志,2014,34(5):391-395. 被引量:28
  • 10黄耿文,李宜雄,肖广发.高龄患者对侧隐匿性腹股沟疝的外科治疗[J].中华疝和腹壁外科杂志(电子版),2014,8(1):19-20. 被引量:11

二级参考文献24

  • 1Bittner R, Arregui ME, Bisgaard T, et al. Guidelines for laparo- scopic (TAPP) and endoscopic (TEP) trealment of inguinal her- nia [International Endohernia Society (IEHS)I [J]. Surg En- dosc, 2011,25(9):2773-2843.
  • 2Catani M, De Milito R, Spaziani E, et al. Laparoscopic inguinal hernia repair "IPOM" vs "open tension-free". Preliminal"y re- suits of a prospective randomizes study [J] Minerva Chir, 2003, 58(6):758-783.
  • 3Kingsley D, Vogt DM, Nelson MT, et al. Laparoscopic intrapcri- toneal onlay inguiual herniorrhaphy[ J ]. Am J Surg, 1998,176(6): 548-553.
  • 4Fitzgibbons RJ, Camps J, Cornet DA, et al. Laparoscopic ingui- nal herniorrhaphy results of a multicenter trial [J]. Ann Surg, 1995,221(1):3-13.
  • 5Schreuk P, Woisetschlager R, Ricger R, et al. Prospeelive ran- domized trial comparing postoperative pain and return to physi- cal activity after transabdominal preperitoneal, total preperitone- al or Shonldice technique for inguinal hernia repair [J]. Br J Surg, 1996,83(11):1563-1566.
  • 6Wake BL, McCnrmaek K, Fraser C, et al. Transahdnminal pre- peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair [J]. Cochrane Database Syst Rev, 2005,25(1):CD004703.
  • 7Zhu Q, Man Z, Yu B, et al. Effects of persistent CO; insufflation during different laparoscopic inguinal hernioplasty: a prospective randomized controlled study[J]. J Laparoendosc Adv Surg Tech, 2009,19(5):611-614.
  • 8McCormack K, Wake BL, Perez J, et al. Laparoscopic surgery for inguinal hernia repair: systemic review of effectiveness and eco- nomic evaluation[J]. Health Technol Assess, 2005, 9(14): 1-203.
  • 9Kapiris SA, Brough WA, Royston CM, et al. Laparoscopic lrans- abdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3, 017 patients [J]. Surg Endosc,2001,15(9):972-975.
  • 10Stengel D, Bauwens K, Ekkernkamp A. Recurrence risks in randomized trials of laparoscopic versus open inguinal hernia repair: to pool or not to pool (this is not the question) [J]. Lan- genbecks Arch Surg, 2004,389(6):492-498.

共引文献35

同被引文献133

  • 1郝双林,田宝斌,王玲,高文华,赵俊.VAS测痛法的临床初步评估[J].中国医学科学院学报,1994,16(5):397-399. 被引量:161
  • 2赵渝,王刚.腹股沟疝修补术后慢性疼痛的原因及治疗[J].中国实用外科杂志,2006,26(11):826-828. 被引量:73
  • 3江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1350
  • 4Li JF, Lai DD,Zhang XD, et al. Meta - analysis of the effec- tiveness of prophylactic antibiotics in the prevention of post- operative complications after tension - free hemioplasty [J]. Canadian journal of surgery,2012,55 ( 1 ) :27.
  • 5Dahlstrand U, Sandblom G, Nnrdin P, et al. Chronic pain after femoral hernia repair : a cross- sectional study [ J ]. Ann Surg, 2011, 254(6) : 1017-1021.
  • 6Dahlstrand U, Sandblom G, Ljungdahl M, et al. TEP under general anesthesia is superior to Lichtenstein under local anesthesia in terms of pain 6 weeks after surgery : results from a randomized clinical trial [J]. Surg Endosc, 2013, 27(10): 3632-3638.
  • 7Kleidari B, Mahmoudieh M, Yaribakht M, et al. Mesh fixation in TAPP laparoscopic hernia repair: introduction of a new method in a prospective randomized trial [ J ]. Surg Endosc, 2014, 28 (2) : 531- 536.
  • 8Franneby U, Gunnarsson U, Andersson M, et al. Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair [J]. Br J Surg, 2008, 95(4) : 488-493.
  • 9Franneby U, Sandblom G, Nordin P, et al. Risk factors for long- term pain after hernia surgery [J]. Ann Surg, 2006, 244(2) : 212- 219.
  • 10Peitsch WKJ. A modified laparoscopic hernioplasty (TAPP) is the standard procedure for inguinal and femoral hernias: a retrospective 17-year analysis with 1123 hernia repairs [J]. Surg Endosc, 2014, 28(2) : 671-682.

引证文献17

二级引证文献288

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部