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TAPP Hernia Repair and Pain Physical Therapy

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TAPP Hernia Repair and Pain Physical Therapy

Tension-free surgical techniques such as TEP and Lichtenstein repair for groin hernias have been linked to reduced chronic pain levels compared to open Liechtenstein mesh repair. Despite these advantages, pain may persist long term following hernia repair.

Gaining awareness of the effects of hernia surgery on pain is essential in order to prevent or minimize these side effects during recovery. This is especially pertinent for hernias that are susceptible to neuralgia due to mesh placement during open Liechtenstein repair.

In this study, we compared laparoscopic TAPP hernia repair with open Liechtenstein hernioplasty (LICH) on pain in a prospective randomized trial. Early and late postoperative pain were assessed using a validated questionnaire.

At 6 weeks, 6 months and 1 year after surgery, 120 inguinal hernias patients were randomly divided into two groups and operated upon with either the TAPP procedure or traditional Liechtenstein open hernioplasty. We recorded and analyzed results at six weeks, 6 months and 1 year post-op.

At 6 weeks after surgery, those in the fibrin-sealant group reported significantly lower pain scores on a visual analog scale than their suture group counterparts (P = 0.02). Furthermore, these lower scores persisted at 3 months and one year. Furthermore, TAPP hernia repair with fibrin-sealant led to improved quality of life as well as shorter hospital stays than those undergoing traditional Liechtenstein hernioplasty.

At one year after surgery, there was no difference in recurrence rates of hernias between TEP and Lichtenstein groups or among surgeons with more than ten years of experience. Therefore, it was suggested that TEP should only be utilized by experienced hands.

At preoperative time, 35% of patients reported pain; this decreased to 12.5% for TEP group and 8.3% in Lichtenstein group after one year (P.02). QOL also declined preoperatively in TEP group but returned to norm levels after 1 and 3 years (P.04).

In the TEP group, SEX-P occurred before surgery at 30% and decreased to 5.9% at one year; this rate is comparable to other studies using laparoscopic techniques that have investigated this condition.

At 1 and 3 years, the percentages of patients with new SEX-P were 3.6% in the TEP group and 4.2% in the Lichtenstein group (P.012)

Though the recurrence rate was similar between both groups, there was a statistically significant difference in hernia recurrence rates between TEP and Lichtenstein repairs performed by surgeons with over 10 years of expertise. This suggests that TEP should only be utilized by experienced surgeons in order to reduce its potential to cause repeat operations.

Monofilament, macro-porous knitted PTFE meshes are an increasingly attractive alternative to polypropylene meshes in Lichtenstein hernioplasty for relieving postoperative pain. This method has proven particularly successful during the acute phase of surgery and may serve as a useful tool in preventing chronic discomfort.

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- Welcome, SoundTherapy.com lowers anxiety 86%, pain 77%, and boosts memory 11-29%. Click on the brain to sign up or share with buttons below to help others:
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