Inguinal Hernia
Conditions
Interventions
63 elective patients from the general surgery clinic underwent inguinal hernioplasty by videolaparoscopic transabdominal technique by the same surgeon (who did not previously know the patient) and th
Procedure/surgery
C23.550.291.937
Sponsors
Hospital de Transplantes Euryclides de Jesus Zerbini
Hospital de Transplantes Euryclides de Jesus Zerbini
Eligibility
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: patients of both genders; age between 18 and 75 years; body mass index (BMI) less than 35 kg / m2; unilateral inguinal hernia patients classified as Nyhus Type II or III; American Society of Anesthesiology Physical State Classification (American Society of Anesthesiology - ASA) I, II and III.
Exclusion criteria
Exclusion criteria: Patients with bilateral inguinal hernia; recurrence , encarcerated; strangled; ; Users of chronic painkillers; Corticosteroid users; patients with fibromyalgia; patients on antidepressants; anxiolytics, carbamazepine, diphenylhydantoin, gabapentin, and pregabalin; patients with previous surgery on the ínguino-crural region; right iliac fossa; hypogastrus; Patients with benign prostatic hyperplasia, not released after urological evaluation; Patients undergoing prostatic surgery for cancer or not; American Society of Anesthesiology (ASA) IV and V Physical State Classification and Users of Illicit Drugs and Alcohol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment and evaluation by physical examination as well as application of quantitative and qualitative pain score and follow-up for 2 years postoperatively in the following periods: 1st postoperative day, 7-15th postoperative day, 3rd postoperative month , 6th Postoperative Month, 1 Year Postoperatively and 2nd Year Postoperatively of patients undergoing transabdominal inguinal hernioplasty by videolaparoscopic technique where after placement of the mesh they were randomized to non-mesh fixation (21 patients) , fixation of the mesh with staples - considered traumatic (21 patients) and fixation of the mesh with. glue - considered non-traumatic (21patients). Where patients who had no fixation or non-traumatic fixation were expected to have less acute pain or chronic postoperative pain.; Given that the proper study has already been analyzed, it was evident that from the point of view of acute or chronic pain there was no difference in non-fixation of the mesh or even fixation with staples or glue in patients undergoing transbadominal videolaparoscopic hernioplasty. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment and evaluation by physical examination and follow-up for 2 years postoperatively in the following periods: 1st postoperative day, 7-15th postoperative day, 3rd postoperative month, 6th postoperative month, 1 year Postoperative and 2nd postoperative year of patients undergoing inguinal hernioplasty by videolaparoscopy by transbadominal technique where after mesh placement were randomized into non-mesh fixation (21 patients), mesh fixation with staples - (21 patients ) and fixing the screen with glue - (21patients). Where patients who had not had mesh fixation compared with staple or glue fixation were expected to have a relapse rate.;Given that the proper study has already been analyzed, it was evidenced that all patients were asymptomatic and there were no signs of hernia recurrence regarding non-fixation of the mesh or even fixation with staples or glue in patients submitted to physical examination. inguinal hernioplasty by videolaparoscopy by transbadominal technique | — |
Countries
Brazil
Contacts
Public ContactMauricio Azevedo
Hospital de Transplantes Euryclides de Jesus Zerbini
Outcome results
None listed