Ashfaq Ahmed Mangi, Sajid Atif Aleem, Qazi Jalaludin Ahmed, Shabana Ashfaq.
Comparison of Pain on First Postoperative Day in Laparoscopic Hernioplasty vs Open Mesh Lichtenstein Hernioplasty.
Ann Jinnah Sindh Med Uni Jan ;1(2):6-8.

Objective: To compare frequency of pain on first postoperative day in laparoscopic hernioplasty v/s open mesh Lichtenstein hernioplasty in patients undergo inguinal hernioplasty at tertiary care hospital. Methods: The randomized control trial study was conducted at General Surgery Department, Kalsoom Bai Valika Social Security Hospital Karachi Sindh (K.V.S.S., S.I.T.E). Male patients between 20 to 60 years of age who enrolled during 22'd Jan 2014 to 22'd Dec 2014 were included. Patients were randomly divided into two groups. Group A (laparoscope inguinal hernioplasty) and group B (with open Lichtenstein hernioplasty. Patients complaining with unilateral primary inguinal hernia with American Society of Anaesthesiologists (ASA) Status I and II were included and were undergo elective surgery. Post operative pain was assessed through Visual Analogue Scale (V.A. S) SPSS version 20 was used to analyze the data. Results: Sixty four patients (64) thirty two (32) in each group were enrolled in the study. Mean age of the patients in group A was 37.9±11.7 years and in group B was 42.7±11.8. There was statically significance difference in pain (6.25% in group A versus 31.25% in group B; P=0.011). The mean duration of hernia in group A was 7.59±2.69 and in group B was 8.25±2.24 months. Conclusion: It is to be concluded that Laparoscopic total inguinal hernioplasty TEP, is effective surgical procedure associated with less post-operative pain, as compared to Open Lichtenstein hernioplsty.

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