prikaz prve stranice dokumenta Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi
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master's thesis
Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi
2015. urn:nbn:hr:184:304441
Tomašić, Ana-Marija
University of Rijeka
Faculty of Medicine
Department of Surgery

Cite this document

Tomašić, A. M. (2015). Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:304441

Tomašić, Ana Marija. "Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi." Master's thesis, University of Rijeka, Faculty of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:184:304441

Tomašić, Ana Marija. "Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi." Master's thesis, University of Rijeka, Faculty of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:184:304441

Tomašić, A. M. (2015). 'Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 25 October 2024, https://urn.nsk.hr/urn:nbn:hr:184:304441

Tomašić AM. Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2015 [cited 2024 October 25] Available at: https://urn.nsk.hr/urn:nbn:hr:184:304441

A. M. Tomašić, "Utjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2015. Available at: https://urn.nsk.hr/urn:nbn:hr:184:304441

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Metadata
TitleUtjecaj upotrebe prolenske mrežice malih i velikih pora na učestalost i karakteristike kronične postoperativne boli u preponi
AuthorAna-Marija Tomašić
MentorHarry Grbas (mentor)
MBZ: 220886
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Rijeka
Defense date and country2015, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract
Preponska kila protruzija je parijetalnog peritoneuma kroz defekt tkiva u području preponskog kanala. Kirurške tehnike brzo su napredovale, sve do današnjih netenzijskih tehnika, koje su zlatni standard. Cilj rada bio je prikazati ima li veće incidencije kronične postoperativne boli u preponi u pacijenata kod kojih je korištena prolenska mrežica malih pora u odnosu na mrežicu velikih pora u svrhu plastike trbušne stijenke zbog ingvinalne hernije. Studija je učinjena na Zavodu za opću i plastičnu kirurgiju Klinike za kirurgiju KBC-a Rijeka. U studiju je bilo uključeno 180 pacijenata podvrgnutih Lichtenstein operaciji zbog ingvinalne hernije s očuvanjem ingvinalnih živaca, 6 - 8 mjeseci ranije. U 90 pacijenata u svrhu plastike trbušne stijenke upotrebljena je prolenska mrežica malih pora, a u preostalih 90 prolenska mrežica velikih pora. Karakteristike i jačina boli ispitane su prema posebno modificiranoj ljestvici za evaluaciju kronične boli 'Pain Quality Assessment Scale'. U grupi pacijenata kod kojih je korištena prolenska mrežica malih pora 16 pacijenata (17,77%%) imalo je kroničnu postoperativnu bol u preponi, dok niti jedan pacijent u grupi onih kojima je učinjena plastika trbušne stijenke prolenskom mrežicom velikih pora nije. U prvoj sub-skali PQAS upitnika koja ocjenjuje paroksizmalnu bol, srednja vrijednost iznosila je 2,56. Druga sub-skala ispituje površnu bol (srednja vrijednost 2,08), dok treća sub-skala ocjenjuje duboku bol (srednja vrijednost 1,89). Sve karakteristike boli ocjenjene su blagim intenzitetom. Mrežica malih pora značajno utječe na incidenciju postoperativne boli zbog neprimjerene upalne reakcije, sužavanja pora i kompresije tkiva, ponajviše živaca, koji su razlog pojave kronične preponske boli.
Abstract (english)
Inguinal hernia is protrusion of parietal peritoneum through the defect of tissue in inguinal canal. Surgical techniques have improved up to tension free techniques that are gold standard. The objective of this study is to show incidence and characteristics of chronic groin pain after inguinal hernioplasty using different types of prolene mesh. The study was undertaken at Department of Surgery, Clinical Hospital Center Rijeka, where 180 patients had undergone to Lichtenstein technique of hernia repair with preservation of inguinal nerves 6-8 months prior to examination. Inguinal hernioplasty has done in 90 patients using a small-pored prolene mesh and in 90 patients using a large one. Patients who felt pain were invited to complete specially modified questionnaire “Pain Quality Assessment Scale”. In the group of patients who had undergone inguinal hernioplasty using a small-pored prolene mesh 16 (17,77%) of the 90 patients had chronic postoperative groin pain. In the group of 90 patients using a large-pored prolene mesh none expressed chronic postoperative groin pain. In first sub-scale of the PQAS that evaluates paroxysmal pain mean value was 2.56, which pertains to mild pain. The second sub-scale examines superficial pain (mean value 2.08), and the third sub-scale evaluates deep pain (mean value 1.89). All values pertained to mild pain. Using small-pored mesh for inguinal hernia repair increases incidence of postoperative groin pain due to inappropriate inflammatory response, narrowing the pores and compression of tissues, particularly nerves, which are the main reason for appearance of chronic postoperative groin pain.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:304441
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2016-01-22 16:08:34