POSTOPERATIVE QUALITY OF LIFE AFTER TENSION AND TENSIONLESS SOLVING OF INGUINAL HERNIAS

Abstract

The aim of the paper is to evaluate the postoperative quality of life of the patients after two different types of operation of the inguinal hernia. At the Surgical Clinic of the Clinic Center, Niš, in the period of two years (2000 and 2001) there were 173 patients operated, 95 of them by the classic tension methods (Bassini, Halstedt, Shouldice) while 78 by the tension less methods (Lichtenstein). In the group of patients operated by the tension less technique a lower degree of postoperative pains was recorded (fewer analgetics, smaller values at the descriptive pain scale) as well as an earlier return to physical and working activity comparing to the group of patients operated by the classic methods. Such results are explained by smaller tissue trauma and by the lack of tissue tension with the Lichtenstein method which makes it the chosen method in solving inguinal hernias.

Keywords

• Postoperative quality of life
• inguinal hernia
• tension method
• tensionless method