Factores de riesgo asociados a dolor crónico postquirúrgico secundario a hernioplastía inguinal
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Date
2019-12-12
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Universidad Nacional de Trujillo
Abstract
Objetivo: Determinar si la cirugía convencional, anestesia general, dolor preoperatorio, dolor postoperatorio agudo y recurrencia son factores de riesgo asociados a dolor crónico postquirúrgico secundario a hernioplastía inguinal.
Material y métodos: Se realizó un estudio analítico de tipo casos y controles que incluyó a 168 (56 casos y 112 controles) pacientes operados de hernioplastía inguinal entre enero del 2016 y noviembre del 2018. El dolor crónico posthernioplastía inguinal se midió con la escala EN al menos 3 meses después de la reparación quirúrgica. Se halló Odds Ratio, intervalo de confianza, y para medir la significancia se usó la prueba de Chi Cuadrado.
Resultados: Se reportó para la cirugía convencional un OR = 1.81; IC.95% (0.85 - 3.83), p=0.1187, dolor preoperatorio un OR= 3.08; IC 95% (1.11-8.53), p=0.0244, recurrencia un OR:8.54; IC 95% (1.93-78.3), p= 0.0246, anestesia general un OR=1.86; IC 95% (0.64-5.41), p=0.2510 y para el dolor postoperatorio un OR: 1,31; IC 95% (0.63-2.70), p=0.4687.
Conclusiones: Se identificaron como factores de riesgo al dolor preoperatorio y recurrencia. Así mismo la cirugía convencional, la anestesia general y el dolor postoperatorio agudo no se asociaron al desarrollo de dolor crónico posquirúrgico secundario a hernioplastia inguinal
Description
Objective: Determine whether conventional surgery, general anesthesia, preoperative pain, acute postoperative pain and recurrence are risk factors associated with chronic postsurgical pain secondary to inguinal hernioplasty.
Material and methods: An analytical study of type cases and controls was conducted that included 168 (56 cases and 112 controls) patients operated on from inguinal hernioplasty between January 2016 and November 2018. Chronic inguinal posthernioplasty pain was measured on the EN scale at least 3 months after surgical repair. Odds Ratio, confidence interval, was found, and the Chi Cuadrado test was used to measure significance.
Results: An OR 1.81 was reported for conventional surgery; IC.95% (0.85 - 3.83), p=0.1187, for preoperative pain an OR 3.08; 95% IC (1.11-8.53), p=0.0244, for recurrence an OR:8.54; 95% IC (1.93-78.3), p. 0=0246, general anesthesia an OR-1.86; 95% IC (0.64-5.41), p=0.2510 and for postoperative pain an OR: 1.31; 95% IC (0.63-2.70), p=0.4687.
Conclusions: Pain and recurrence were identified as risk factors for preoperative. Also conventional surgery, general anesthesia and acute postoperative pain were not associated with the development of chronic postsurgical pain secondary to inguinal herniplasty
Keywords
Dolor crónico, Hernioplastía, Hernia inguinal, Factores de riesgo