Folia medica Cracoviensia
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Folia medica Cracoviensia · Jan 2008
[Valenti method (PAD) as an assesment of polypropylene mesh fixing standarization in inguinal hernia repair].
The introduction of synthetic materials in hernia surgery allowed accomplishing of the improved results. Modern procedures are based on tension-free technique. This rule has been entirely applied in the innovative Valenti hernia repair method--PAD (dynamic self-adapting prosthesis). ⋯ Totally tension-free method of Valenti inguinal hernia repair provides patients with minimal pain in a postoperative period and allows a prompt return to the daily activity.
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Persistent post-operative pain is defined as a pain in the location of the surgery that persist for many months or even years beyond the usual course of an acute injury and is different of that suffered preoperatively. Persistent pain can be due to long lasting nociception caused by processes such as information, chronic infection or tumor. The most important causes are neuropathic pain states due to nerve compression, entrapment or other damage. ⋯ Modern approaches including satisfactory perioperative analgesia, nerve sparing, minimally invasive techniques, and the use of a surgical approach that minimizes tissue trauma are crucial. Following inguinal hernia repair, chronic pain is less common than after laparoscopic and mesh repairs. The prompt diagnosis of acute neuropathic pain after operation is very important and management is based on extrapolation of data from the chronic neuropathic pain setting.
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Hernia (Greek kele/hernios--bud or offshoot) was present in the human history from its very beginning. The role of surgery was restricted to the treatment of huge umbilical and groin hernias and life-threatening incarcerated hernias. The treatment of groin hernia can be divided into five eras. ⋯ Later such methods like TAPP and TEP were introduced. The disadvantages of laparoscopic approach were: high cost and risk connected with general anesthesia. In conclusion it may be stated that history of groin hernia repair evolved from life-saving procedures in case of incarcerated hernias to elective operations performed within the limits of 1 day surgery.