Comparison of pain score and patient satisfaction between laparoscopic and open abdominal incisional hernia repair

İlker Murat Arer; Murat Kuş; Nezih Akkapulu; Hakan Yabanoğlu; Hüseyin Özgür Aytac; Nurkan Törer

doi:10.19161/etd.417270

TR EN

Açık ve laparoskopik insizyonel herni onarımının ağrı skorları ve hasta memnuniyeti açısından karşılaştırılması

Öz

Amaç: İnsizyonel herni karın cerrahisi sonrası görülen en sık komplikasyonlardandır. Son zamanlarda laparoskopik onarım gündeme gelmiştir. Bu çalışmanın amacı, açık ve laparoskopik insizyonel herni onarımı yapılan hastalarda ağrı skorları ve memnuniyet oranlarını karşılaştırmaktır.

Gereç ve Yöntem: Yüz altmış dört hasta çalışmaya dahil edildi. Grup 1 (n=47) laparoskopik onarım ve Grup 2 (n=117) açık onarım yapılan hastalardan oluşmaktaydı. Hastalar, demografik özellikler, ameliyat bulguları, ameliyat sonrası komplikasyon ve nüks açısından incelendi. Grup 1’deki 32 (%68.08) ve Grup 2’deki 88 (%75.21) hastaya telefon anketi uygulandı. Ağrı skorları ve memnuniyet oranları karşılaştırıldı.

Bulgular: Hastaların 51’i (%31.1) erkek, 113’ü (%68.9) kadındı. Ortalama yaş 55.35±11.73 idi. Ameliyat sonrası komplikasyon oranları Grup 1 için %2.1 ve Grup 2 için %23.9 olarak saptandı (p<0.05). Grup 1 ve 2 için nüks oranları sırasıyla %25.7 ve %20 olarak saptandı (p>0.05). Gruplar arasında ağrı skorları ve memnuniyet oranları açısından anlamlı fark saptanmadı (p>0.05).

Sonuç: Laparoskopik onarımın avantajları olmasına rağmen ağrı ve memnuniyet açısından açık onarıma üstünlüğü olmamaktadır.

Anahtar Kelimeler

İnsizyonel herni,ağrı,memnuniyet,laparoskopik fıtık onarımı,fıtık.

Comparison of pain score and patient satisfaction between laparoscopic and open abdominal incisional hernia repair

Abstract

Aim: Incisional hernia is one of the most common postoperative complications of abdominal surgery. Recently laparoscopic repair was introduced. The aim of this study is to compare pain scores and satisfaction rates of patients performed open and laparoscopic incisional hernia repair.

Materials and Methods: A total of 164 patients were included. Group 1 (n=47) consists of patients performed laparoscopic repair and Group 2 (n=117) consists of open repair. Patients were analyzed according to demographic data, operative findings, postoperative complications and recurrence. 32 (68.08%) patients in Group 1 and 88 (75.21%) patients in Group 2 were applied to telephone survey. Pain scores and satisfaction rates of patients were compared.

Results: 51 (31.1%) patients were male and 113 (68.9%) patients were female. Mean age of patients was 55.35±11.73 years. Postoperative complications were found in only 2.1% of patients in Group 1 and 23.9% of patients in Group 2 (p<0.05). Recurrence rates for Group 1 and 2 was 25.7% and 20%, respectively (p>0.05). No statistical difference was observed between groups regarding to pain scores and satisfaction rates (p>0.05).

Conclusion: Although laparoscopic repair seems to have advantages, it has no superiority to the open repair regarding pain and satisfaction.

Keywords

Incisional hernia,pain,satisfaction,laparoscopic hernia repair,hernia.

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

İlker Murat Arer ^*
0000-0001-9880-3570
Türkiye

Murat Kuş
0000-0001-6529-7579
Türkiye

Nezih Akkapulu
0000-0001-7392-961X
Türkiye

Hakan Yabanoğlu
0000-0002-1161-3369
Türkiye

Hüseyin Özgür Aytac
0000-0002-3583-9282
Türkiye

Nurkan Törer
0000-0002-2749-3787
Türkiye

Publication Date

December 3, 2018

Submission Date

August 7, 2017

Acceptance Date

November 2, 2017

Published in Issue

Year 2018 Volume: 57 Number: 4

DOI

https://doi.org/10.19161/etd.417270

IZ

https://izlik.org/JA69MG97FD

Cite

RIS / Bibtex

Vancouver

1.İlker Murat Arer, Murat Kuş, Nezih Akkapulu, Hakan Yabanoğlu, Hüseyin Özgür Aytac, Nurkan Törer. Comparison of pain score and patient satisfaction between laparoscopic and open abdominal incisional hernia repair. EJM. 2018 Dec. 1;57(4):195-200. doi:10.19161/etd.417270

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