The Effects of Different Hernia Repair Methods on Postoperative Pain Medication and CRP Levels

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dc.contributor.authorVatansev, Celalettin
dc.contributor.authorBelviranlı, Metin
dc.contributor.authorAksoy, Faruk
dc.contributor.authorTuncer, Sema
dc.contributor.authorŞahin, Mustafa
dc.contributor.authorKarahan, Ömer
dc.date.accessioned2020-03-26T16:44:54Z
dc.date.available2020-03-26T16:44:54Z
dc.date.issued2002
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAlthough tension-free techniques of hernia repair using synthetic meshes have yielded encouraging results, the best method of inguinal hernia repair is still unclear. The aim of this study was to compare the responses of inflammatory mediators and postoperative pain relief following laparoscopic total extraperitoneal (TEP) hernioplasty, open tension-free mesh hernioplasty (Lichtenstein), posterior preperitoneal mesh hernioplasty (Nyhus procedure), and Bassini procedure. Patients with primary inguinal hernia were randomized in the operating room to undergo one of these repair techniques. Group I comprised 24 patients treated by Lichtenstein procedure; Group If comprised 21 patients treated by Nyhus procedure; Group III comprised 19 patients treated by Bassini procedure; and Group TV comprised 20 patients treated by laparoscopic TEP mesh hernioplasty. Postoperative pain levels following hernia repair were compared by measuring the use of patient-controlled analgesia (PCA) during the 24 hours after surgery. Serum samples withdrawn before surgery and 48 hours after surgery were assayed for C-reactive protein (CRP) content. Patient characteristics, operating time, and operative and early complications were noted. Serum CRP levels rose markedly following Nyhus (184.5 +/- 41.6 mg/L), Lichtenstein (138.4 +/- 72.5 mg/L), and Bassini repair (137.2 +/- 55.9 mg/L) compared with that of patients who underwent TEP mesh hernioplasty (55.5 +/- 41.2 mg/L). There were also significant differences in the postoperative need for analgesics via PCA among patients undergoing Nyhus (382.9 +/- 189.1 mg), Bassini (303.2 +/- 173.7 mg), and Lichtenstein (253.9 +/- 129.3) procedures compared with 196.6 +/- 148.8 mg for the TEP mesh hernioplasty group. Patients in the Lichtenstein group also had significantly less need of analgesics than those in the Nyhus and Bassini groups. In conclusion, TEP mesh hernioplasty is less traumatic and yields less postoperative pain than the Nyhus, Lichtenstein, and Bassini procedures.en_US
dc.identifier.citationVatansev, C., Belviranlı, M., Aksoy, F., Tuncer, S., Şahin, M., Karahan, Ö., (2002). The Effects of Different Hernia Repair Methods on Postoperative Pain Medication and CRP Levels. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 12(4), 243-246. Doi: 10.1097/00129689-200208000-00008
dc.identifier.doi10.1097/00129689-200208000-00008en_US
dc.identifier.endpage246en_US
dc.identifier.issn1530-4515en_US
dc.identifier.issn1534-4908en_US
dc.identifier.issue4en_US
dc.identifier.pmid12193818en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage243en_US
dc.identifier.urihttps://dx.doi.org/10.1097/00129689-200208000-00008
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18063
dc.identifier.volume12en_US
dc.identifier.wosWOS:000177673700008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVatansev, Celalettin
dc.institutionauthorBelviranlı, Metin
dc.institutionauthorAksoy, Faruk
dc.institutionauthorTuncer, Sema
dc.institutionauthorŞahin, Mustafa
dc.institutionauthorKarahan, Ömer
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectInguinal Hernia Repairen_US
dc.subjectInflammatory Responseen_US
dc.subjectC-Reactive Proteinen_US
dc.subjectPatient Controlled Analgesia (PCA)en_US
dc.titleThe Effects of Different Hernia Repair Methods on Postoperative Pain Medication and CRP Levelsen_US
dc.typeArticleen_US

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