Article: Bolevoi sindrom i kachestvo zhizni posle laparoskopicheskoi transabdominal'noi preperitoneal'noi gernioplastiki s raznymi sposobami fiksatsii bryushiny. Rezul'taty dosrochno zavershennogo randomizirovannogo klinicheskogo issledovaniya.
2022 , Issue 9, Page(s) 14–20
Abstract: Objective: To compare and statistically evaluate the severity of pain syndrome and quality of life depending on the method of fixation of the parietal peritoneum during laparoscopic hernia repair (suture fixation or the use of tack fixation).: Methods! ...
Title translation | Pain and quality of life after laparoscopic transabdominal preperitoneal hernioplasty with different ways of fixing the peritoneum. Results of early completion randomized clinical trial. |
---|---|
Abstract | Objective: To compare and statistically evaluate the severity of pain syndrome and quality of life depending on the method of fixation of the parietal peritoneum during laparoscopic hernia repair (suture fixation or the use of tack fixation). Methods: A randomized clinical trial was conducted from May to June 2021 at the Lomonosov Moscow State University Medical Center. It was planned to observe patients for a year. In the first group, the fixation of the parietal peritoneum was performed using suture fixation, in the second group, the peritoneal flap was fixed using a fixation device. In the course of statistical data processing, it was planned to study the dependence of the duration of the operation, the severity of the pain syndrome in the early postoperative period, the frequency of complications, the quality of life of patients in the postoperative period on the chosen method of the fixation of the parietal peritoneum. Results: At the initial stage of the study, 8 patients with inguinal hernias were selected in the first group during randomization, and 6 patients were selected in the second group. Each patient of the second group in the early postoperative period had a more pronounced local pain, protective muscle tension in the projection of fixation of the parietal peritoneum with tacks, which was accompanied by negative psychoemotional reactions, an increase in the dose of analgesic drugs. Due to the revealed features of the early postoperative period in patients of second group, it was considered unethical and inappropriate to continue the study within the protocol. Conclusion: The results obtained do not allow us to draw statistically supported conclusions. The solution of the problem of the peritoneal flap fixation method is possible in two ways: abandoning stapler fixation in favor of suture or conducting additional clinical studies with an analysis of the impact of the choice of peritoneal fixation technique not only on acute and chronic postoperative pain, but on quality of life in the early and delayed postoperative periods. |
MeSH term(s) | Herniorrhaphy/methods ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Peritoneum/surgery ; Quality of Life ; Surgical Mesh/adverse effects ; Treatment Outcome |
Language | Russian |
Publishing date | 2022-06-01 |
Publishing country | Russia (Federation) |
Document type | Journal Article ; Randomized Controlled Trial |
ZDB-ID | 419230-8 |
ISSN | 2309-5628 ; 0023-1207 |
ISSN (online) | 2309-5628 |
ISSN | 0023-1207 |
DOI | 10.17116/hirurgia202209114 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.B 740: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.