Medicinus : Jurnal Kedokteran
Vol 10, No 1 (2022): February 2022 - May 2022

Comparison of Early Postoperative Pain between Lightweight Mesh and Heavyweight Mesh in Lichtenstein Hernia Repair for Geriatric Patients at Rumah Sakit Siloam Karawaci from January 2018 - December 2019

Nicholas Axel Sidharta (Faculty of Medicine Pelita Harapan University)
Andry Irawan (Faculty of Medicine Pelita Harapan University)
Jeremia Immanuel Siregar (Faculty of Medicine Pelita Harapan University)
Nata Pratama Hardjo Lugito (Faculty of Medicine Pelita Harapan University)



Article Info

Publish Date
01 Apr 2022

Abstract

Background: Inguinal hernias are one of the most often cases in surgery. Inguinal hernias are usually found in males rather than females. There are two types of meshes in inguinal hernia repairs: heavyweight and lightweight mesh. There were still a lot of differences in the outcome of each mesh that was used. Therefore, with various postoperative pain results from past research, the author expresses an interest to research this topic for geriatric patients.Methods: In this cross-sectional comparative study, 45 patients using heavyweight mesh and 45 patients using lightweight mesh herniorrhaphy with Lichtenstein technique in inguinal hernias at RS Siloam Karawaci Lippo Village and RSU were reviewed retrospectively. Patient data were taken from the medical records using the purposive sampling method. Early Postoperative pain from day 1 until 7 was classified following the Visual Analogue Scale (VAS). Incidence of postoperative infection and seroma were assessed in both groups. Collected samples will be processed using Pearson's Chi-Squared test.Result: This study shows that there is a significant difference between the use of lightweight mesh in reducing moderate early postoperative pain for men above the age of 60 years old (p = 0.025) rather than the use of heavyweight mesh. Incidence of other postoperative complications such as infection and seroma have no statistical difference between both groups.Conclusions: The use of lightweight mesh has the advantage of reducing early postoperative pain from herniorrhaphy using the Lichtenstein technique rather than heavyweight mesh in men above 60 years old.  

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Journal Info

Abbrev

Medicinus : Jurnal Kedokteran

Publisher

Subject

Medicine & Pharmacology Public Health

Description

Medicinus: Jurnal Kedokteran is an official journal of the Faculty of Medicine, Universitas Pelita Harapan launched in the year 2007. Medicinus is a peer-reviewed and open-access journal that covers basic, translational, or clinical aspects of health and medical science. Medicinus accepts original ...