Padilla PFJ, Hernández CC, Romero MRD, Cervantes-Valladolid MB, Zubieta OG

Language: Spanish
References: 10
Page: 11-15
PDF size: 273.24 Kb.

ABSTRACT

Introduction: robot-assisted surgery is very well established for the repair of inguinal hernias. One of its benefits is the reduction of post-surgical pain associated with the mesh fixation material. Our objective is to evaluate the incidence of postoperative pain and its association with the method of mesh fixation in robot-assisted inguinal repair. Material and methods: retrospective analysis of patients undergoing robot-assisted bilateral inguinal repair using suture fixation vs tackers. Statistical analysis was made with trend measures and, for pain evaluation, comparison of median by U Mann-Whitney Test. Results: cohort of 30 patients. Median pain, by Visual Analogue Scale, in the left inguinal area (suture-mesh-fixation) of 3, 1 and 0 points at the immediate postoperative period and at one and three months of follow-up, respectively. And mean pain of 4, 2 and 1 in the right inguinal area (tackers-mesh-fixation). A statistically significant difference (p < 0.05) was found in the comparison of means in pain measurement at 24 hours. Conclusions: in robotic inguinal surgery, fixation of the mesh with absorbable suture is statistically significant with less postsurgical pain at the 24 hours follow up.

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