The prevention of pain requires that surgeons should take care not only during the entire surgical procedure but also before and after, following these steps: 1. Preoperative patient selection: preoperative pain, preoperative pain response to heat, intraoperative nerve injury, early postoperative pain intensity, younger age, and open surgery are risk factors for postoperative chronic pain. 2. Anesthesia: local anesthesia seems to be followed by less postoperative pain. 3. Approach: open anterior for all primary inguinal hernias. 4. Identification and respect of the three nerves when possible, otherwise pragmatic neurectomy. 5. Choice of the prosthesis: light- or medium-weight polypropylene flat mesh for “normal” patients. 6. Choice of fixation: sutureless or fibrin glue fixation should be advised. 7. Always provide proper postoperative therapy.

Prevention of pain: optimizing the open primary inguinal hernia repair technique

CAMPANELLI, GIAMPIERO GIORGIO SALVATORE CIRO;CAVALLI, MARTA
2016-01-01

Abstract

The prevention of pain requires that surgeons should take care not only during the entire surgical procedure but also before and after, following these steps: 1. Preoperative patient selection: preoperative pain, preoperative pain response to heat, intraoperative nerve injury, early postoperative pain intensity, younger age, and open surgery are risk factors for postoperative chronic pain. 2. Anesthesia: local anesthesia seems to be followed by less postoperative pain. 3. Approach: open anterior for all primary inguinal hernias. 4. Identification and respect of the three nerves when possible, otherwise pragmatic neurectomy. 5. Choice of the prosthesis: light- or medium-weight polypropylene flat mesh for “normal” patients. 6. Choice of fixation: sutureless or fibrin glue fixation should be advised. 7. Always provide proper postoperative therapy.
2016
978-3-319-21586-0
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2026956
 Attenzione

L'Ateneo sottopone a validazione solo i file PDF allegati

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 1
  • ???jsp.display-item.citation.isi??? ND
social impact