Selection of tension-free herniorrhaphy for inguinal hernia in elderly patients and analysis of risk factors for postoperative chronic pain
Abstract
To analyze the selection of tension-free herniorrhaphy and the risk factors of postoperative chronic pain in elderly patients. 100 elderly patients with inguinal hernia in our hospital from January 2024 to January 2025 were selected and randomly divided into the control group and the observation group, with 50 cases in each group.The control group was treated with mesh-plug tension-free herniorrhaphy, while the observation group was treated with flat tension-free herniorrhaphy, and the pain risk factors of the two groups were compared. The operation time, the first ambulation time after operation and the length of hospital stay in the observation group were higher than those in the control group (P < 0.05). There was no significant difference between the observation group and the control group before and 7 days after treatment (P > 0.05), but the pain score of the observation group was lower than that of the control group 1 day after treatment (P < 0.05). Logistic regression analysis showed that the choice of tension-free herniorrhaphy and nerve exposure were the independent risk factors of chronic pain (P < 0.05). Tension-free repair of inguinal hernia in elderly patients should be combined with the patient’s tolerance and longterm quality of life needs, weighing the advantages of hernia ring filling and plain pain control, and choosing a reasonable operation to reduce the risk of chronic pain after operation.
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