Abstract：
Laparoscopic inguinal hernia repair has significantly reduced the incidence of postoperative acute and chronic pain compared to open repair, but it remains problematic. This study\'s purpose was to retrospectively identify predictive factors of acute pain after laparoscopic inguinal hernia repair.
We reviewed the medical records of 193 patients. After excluding atypical cases and female patients, 156 patients were analysed. Factors affecting rescue analgesic requirements were investigated via multivariable logistic regression analysis. Independent variables included age, body mass index, analgesics used during surgery and surgical factors (unilateral/bilateral, primary/recurrent). The degree of postoperative pain and the hospital stay duration after surgery were also investigated.
Of the 156 patients, 40 (25.6%) required rescue analgesics. Patients under 60 years of age were about seven times more likely to need rescue analgesics than patients over 80 years of age. Primary surgery patients were about 5.5 times more likely to need rescue analgesics than recurrent surgery patients. The maximum verbal rating scale score was less than 3 in 89% of patients. All patients were discharged by two days postoperatively.
Laparoscopic inguinal hernia repair results in less postoperative acute pain. However, analgesia management should be considered prudently for younger patients and primary surgery patients.
We reviewed the medical records of 193 patients. After excluding atypical cases and female patients, 156 patients were analysed. Factors affecting rescue analgesic requirements were investigated via multivariable logistic regression analysis. Independent variables included age, body mass index, analgesics used during surgery and surgical factors (unilateral/bilateral, primary/recurrent). The degree of postoperative pain and the hospital stay duration after surgery were also investigated.
Of the 156 patients, 40 (25.6%) required rescue analgesics. Patients under 60 years of age were about seven times more likely to need rescue analgesics than patients over 80 years of age. Primary surgery patients were about 5.5 times more likely to need rescue analgesics than recurrent surgery patients. The maximum verbal rating scale score was less than 3 in 89% of patients. All patients were discharged by two days postoperatively.
Laparoscopic inguinal hernia repair results in less postoperative acute pain. However, analgesia management should be considered prudently for younger patients and primary surgery patients.
摘要：
背景：与开放修补术相比，腹腔镜腹股沟疝修补术显着降低了术后急性和慢性疼痛的发生率，但它仍然存在问题。本研究的目的是回顾性地确定腹腔镜腹股沟疝修补术后急性疼痛的预测因素。
方法：我们回顾了193例患者的医疗记录。在排除非典型病例和女性患者后，对156名患者进行了分析。通过多变量logistic回归分析研究了影响抢救镇痛药需求的因素。独立变量包括年龄，身体质量指数,手术期间使用的镇痛药和手术因素(单侧/双侧，原发性/复发性)。还调查了术后疼痛程度和术后住院时间。
结果：在156名患者中，40（25.6%）需要抢救镇痛药。60岁以下的患者需要抢救镇痛药的可能性是80岁以上患者的7倍。与复发性手术患者相比，初次手术患者需要抢救镇痛药的可能性约为5.5倍。89％的患者的最大言语评定量表得分小于3。所有患者均于术后2天前出院。
结论：腹腔镜腹股沟疝修补术可减少术后急性疼痛。然而,对于年轻患者和初级手术患者，应谨慎考虑镇痛管理。
方法：我们回顾了193例患者的医疗记录。在排除非典型病例和女性患者后，对156名患者进行了分析。通过多变量logistic回归分析研究了影响抢救镇痛药需求的因素。独立变量包括年龄，身体质量指数,手术期间使用的镇痛药和手术因素(单侧/双侧，原发性/复发性)。还调查了术后疼痛程度和术后住院时间。
结果：在156名患者中，40（25.6%）需要抢救镇痛药。60岁以下的患者需要抢救镇痛药的可能性是80岁以上患者的7倍。与复发性手术患者相比，初次手术患者需要抢救镇痛药的可能性约为5.5倍。89％的患者的最大言语评定量表得分小于3。所有患者均于术后2天前出院。
结论：腹腔镜腹股沟疝修补术可减少术后急性疼痛。然而,对于年轻患者和初级手术患者，应谨慎考虑镇痛管理。
