| Title |
Shouldice, Lichtensteino ir laparoskopinių TAPP kirkšninių išvaržų operacijų lyginamasis daugiacentris perspektyvus atsitiktinių imčių klinikinis tyrimas: lėtinis skausmas ir gyvenimo kokybės pokyčiai / |
| Translation of Title |
Randomized multicenter prospective clinical trial of Shouldice vs Lichtenstein vs laparoscopic TAPP inguinal hernia repair: chronic pain and health-related changes of quality of life. |
| Authors |
Lipnickas, Vytautas ; Kiudelis, Mindaugas ; Gradauskas, Audrius ; Kaselis, Nerijus ; Narmontas, Deividas ; Strupas, Kęstutis |
| DOI |
10.15388/LietChirur.2007.1.2244 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, t. 5, Nr. 1, p. 33-44.. ISSN 1392-0995 |
| Keywords [eng] |
groin hernia ; health-related quality of life ; SF-36 ; chronic pain |
| Abstract [eng] |
Background / objective Open anterior inguinal hernia repair is a time-tested, safe and well-understood operation with a high success rate, while laparoscopic techniques are fairly recent. However, the best surgical approach to the repair of inguinal hernias is still unclear. Given their similarity in terms of complications and recurrence rate, other issues associated with these surgical techniques become more important. One of them is the quality of life. Methods The prospective randomized multicenter clinical study was performed in four surgical centers of Lithuania in 2003. 248 patients were operated on according to standardized protocols of Shouldice, Lichtenstein and laparoscopic TAPP inguinal hernia repairs. Chronic pain and changes of the quality of life according to the SF-36 questionnaire and ad hoc questionnaire of physical status were compared. Results The significantly higher scores in the physical functioning, role-physical, bodily pain and social functioning scales for laparoscopic hernia repair at 2 weeks postoperatively were apparent. The laparoscopic group had significantly less pain (p < 0.001). The significantly higher scores in the role-physical scale for laparoscopic to both open hernia repair methods at 6 months after operation were found (p < 0.05). The laparoscopic group had significantly less chronic pain 6 months postoperatively (p < 0.01). No significant difference in quality of life among three methods one year after operation was apparent. The laparoscopic group had less chronic pain one year after operation, but the difference was not significant ... |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
