Resumen

LOPEZ RODRIGUEZ, Pedro; POL HERRERA, Pablo; LEON GONZALEZ, Olga  y  MUINOS TORRES, Juan Carlos. Pain and hospital costs in primary inguinal hernia repair: Lichtensten versus Desarda. Rev Cubana Cir [online]. 2010, vol.49, n.3. ISSN 0034-7493.

INTRODUCTION. The inguinal hernia has a high incidence in population and represents a health problem due to its significant social and working implications. The objective of present paper was to compare the results of inguinal hernia treatment using two different techniques: a prosthetic one (Lichtenstein technique) and other of anatomical type (Desarda's technique) emphasizing on evaluation of postoperative pain and the hospital costs due to such procedures in addition to other factors. METHODS. A randomized and prospective study was conducted in 625patients operated on between January, 2003 and January, 2009 in the "Dr. Enrique Cabrera" General Teaching Hospital (La Habana). Other variables were also studied including the age, localization and the type of hernia, length of surgical intervention and the complications. RESULTS. The surgical time was minor in the Lischtenstein hernioplasty and there was a similar behavior as regards the postoperative pain between the first and the third day, and in the hernioplasty it was higher at fifth day. There was a significant statistic difference as regards the hospital cost that was higher using the prosthetic technique. CONCLUSIONS. With the Desarda's technique it is possible to obtain the same satisfactory results in non-relapsing hernias that with the Lichtenstein's technique and the hospital cost is minor.

Palabras clave : Hernioplasty; herniorrhaphy; prosthetic technique; hospital cost.

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