• Login
    View Item 
    •   Mak IR Home
    • College of Health Sciences (CHS)
    • School of Medicine (Sch. of Med.)
    • School of Medicine (Sch. of Med.) Collections
    • View Item
    •   Mak IR Home
    • College of Health Sciences (CHS)
    • School of Medicine (Sch. of Med.)
    • School of Medicine (Sch. of Med.) Collections
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Postoperative pain in Lichtenstein with Iliohypogastric neurectomy compared to standard Lichtenstein repair in patients with Inguinal hernia at Mulago Hospital.

    Thumbnail
    View/Open
    Basimbe-CHS-Masters.pdf (697.6Kb)
    Basimbe-CHS-Masters-Abstract.pdf (89.41Kb)
    Date
    2013
    Author
    Basimbe, Francis
    Metadata
    Show full item record
    Abstract
    Background: Groin hernias comprise a great percentage of the surgical volume and account for high morbidity rates worldwide. Inguinal hernia repair is one of the most common surgical procedures. In recent years great importance has been put on short-term comfort of the patient as measured by postoperative pain. Iliohypogastric neurectomy has been shown to significantly reduce post operative pain. There was need to evaluate the effectiveness of Iliohypogastric neurectomy in patients undergoing Lichtenstein repair as a Day Surgery procedure at Mulago Hospital. Study Objectives: The study was to compare the short-term and medium-term Post Operative Pain Scores of the Lichtenstein repair with and without Iliohypogastric neurectomy. Methodology: It was a Double Blinded Randomized Clinical Trial. A total of 96 patients with Primary Inguinal Hernias were recruited in the Surgical Outpatient Department of Mulago Hospital, Uganda. Participants were randomised into either a standard Lichtenstein repair group or a standard Lichtenstein with Iliohypogastric neurectomy group. The participants and outcome assessors were blinded to the treatment method. The outcome variables were; postoperative pain, assessed for with a Visual Analogue Scale at different time intervals; mean pain scores at rest and following activity. Statistical analysis was done with STATA 10 and GENSTAT. A two sided P-value of less than 0.05 was considered to be statistically significant. Results: There was a statistically significant difference in Mean Pain Score at 2hours postoperatively between the standard Lichtenstein Repair(0.957) and the Lichtenstein with Iliohypogastric neurectomy(0.34), p<0.001. There was less Task Induced Pain in the Lichtenstein with Iliohypogastric neurectomy group (0.140) compared to the Standard Lichtenstein group(0.739), p<0.001. Conclusion: Iliohypogastric neurectomy is a safe and effective method of reducing postoperative pain in Lichteistein Hernia repair.
    URI
    http://hdl.handle.net/10570/3178
    Collections
    • School of Medicine (Sch. of Med.) Collections

    DSpace 5.8 copyright © Makerere University 
    Contact Us | Send Feedback
    Theme by 
    Atmire NV
     

     

    Browse

    All of Mak IRCommunities & CollectionsTitlesAuthorsBy AdvisorBy Issue DateSubjectsBy TypeThis CollectionTitlesAuthorsBy AdvisorBy Issue DateSubjectsBy Type

    My Account

    LoginRegister

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    DSpace 5.8 copyright © Makerere University 
    Contact Us | Send Feedback
    Theme by 
    Atmire NV