Хроническая боль у пациентов с анамнезом операции в нижних отделах живота и пластикой прямой грыжи

Анамнез операции в нижних отделах живота не был определен как фактор риска развития хронической боли после эндоскопической пластики паховой грыжи в проспективном нерандомизированном исследовании Elshof et al. [46]. В другом проспективном нерандомизированном исследовании Reddy et al. [47] сообщается, что выворот fascia transversalis для закрытия больших прямых дефектов не связан с хронической болью.

Масса тела, размер грыжевого дефекта, локализация грыжевого дефекта и размер сетки не связаны с острой и хронической болью. В текущей литературе по эндоскопической пластике паховой грыжи отсутствуют данные или приводится недостаточно данных о связи между болью и лечением невправимых и ущемленных грыж, дефектами портов, грыжами мошонки и липомами семенного канатика. Несмотря на то, что в некоторых публикациях приведена информация о связи между болью и манипуляциями с нервами во время открытой пластики паховой грыжи [48-53], отсуствуют аналогичные данные по эндоскопической пластике грыжи.

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