NDLI: Evaluación del dolor postoperatorio inmediato en plastía inguinal

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Evaluación del dolor postoperatorio inmediato en plastía inguinal

Content Provider	Semantic Scholar
Author	León, Luis Humberto Ortega Vargas-Domínguez, Armando Tapia, David Montaño, Abel Jalife Báez, Alejandro Rodríguez Gaona, Yuriria Orea
Copyright Year	2006
Abstract	Objective: To assess the impact of age, gender, type of lesion, surgical time and technique on the intensity of pain immediately after inguinal repair surgery. Design: Prospective, longitudinal, descriptive. Statistical analysis: Student t test and KolmogorovSmirnov test. Material and Method: Studied variables were: age, gender, type of injury, repair technique used, and surgical time. An analogic verbal scale, with values from 0 to 10 was used to measure pain, where 0 is no pain and 10 is the maximal tolerable pain. We performed two measurements, the first at 3 h after surgery, once the effect of the epidural block had waned and the second was performed on the next day of surgery, at 07:00 hours, that is, between 14 and 21 hours after surgery. Results: We evaluated 210 cases in 21 months, men:women ratio was 4 to 1, most lesions corresponded to Nyhus III B (35%) and Nyhus II (32%), 180 patients were operated with a tension-free technique using prosthetic material; no prosthetic material was used in the remainder 30 patients. Pain in the first measurement was distributed along the whole scale, concentrating at intensities of 3 to 5 in 74.8% of the patients, decreasing markedly in the second measurement, comprising 82.8% of the patients in the 1 to 4 pain intensity range. We found intensity variations between the techniques (with and without tension) used, and among age, gender, and type of injury; however, these variations had no statistical significance. Conclusion: Inguinal repair is a procedure in which a high degree of pain tolerance is reported by patients. According to the results of the present work, average pain intensity reaches the mid or lower Resumen Objetivo: Evaluar el impacto que tienen, en la intensidad del dolor postoperatorio inmediato de plastía inguinal, la edad, género, variedad de la lesión tiempo operatorio y técnica quirúrgica. Sede: Centro de atención de tercer nivel. Diseño: Prospectivo, longitudinal, descriptivo. Análisis estadístico: t de Student y prueba de Kolmogorov-Smirnov. Material y método: Variables estudiadas: edad, género, variedad de la lesión, técnica de reparación empleada y tiempo operatorio. Se utilizó para la medición una escala verbal analógica con valores del 0 al 10, donde 0 es nada de dolor y 10 es el máximo dolor tolerable, se realizaron dos mediciones, la primera a las tres horas del postoperatorio una vez que había terminado el efecto del bloqueo epidural y la segunda evaluación se realizó al día siguiente del procedimiento, a las 07:00 horas, esto es, entre las 14 y 21 horas de postoperatorio. Resultados: Se evaluaron 210 casos en 21 meses, la proporción hombre:mujer fue de 4 a 1, la mayoría de las lesiones fueron Nyhus III B (35%) y Nyhus II (32%), 180 pacientes operados con técnica libre de tensión utilizando material protésico, en 30 pacientes no se utilizó material protésico. El dolor en la primera medición se distribuyó a lo largo de toda la escala, concentrándose en las intensidades 3 a 5 en el 74.8% de los pacientes y descendió de manera significativa en la segunda medición, aglutinando el 82.8% en las intensidades 1 a 4. Se encontraron variaciones de intensidad entre técnicas (con y sin tensión), edad, sexo, y variedad de la lesión, sin embargo estas variaciones no tienen significancia estadística. Conclusión: La plastía inguinal es un procedimiento que involucra un alto grado de tolerancia al doArtemisa medigraphic en línea
Starting Page	242
Ending Page	247
Page Count	6
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.medigraphic.com/pdfs/cirgen/cg-2006/cg064h.pdf
Volume Number	28
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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