Comparison of Incident of Chronic Pain Post Operations of Preperitoneal Transabdominal Herniorafi Laparoscopy (TAPP) and Totally Extraperitoneal (TEP) in General Hospital Dr. M. Djamil Padang
Main Article Content
Introduction : Inguinal herniation is a protrusion of peritoneal component through
abdominal wall caused by the weakness of aponeurotica tissue of abdomen. Inguinal
herniation is the most common herniation cases in which 291.145 patient registered
in Indonesia at 2012 and 87 patients in General Government Hospital of M. Djamil
Padang at 2017-2018. Herniation treatment is consisted of herniorrhapy
laparoscopy using the TEP or TAPP techniques and both of them are related to the
incidence of chronical post-operative pain that was defined by IASP as an
uncomfortable sensation lasting for more than 3 months. Method: This research
was using retrospective study design. The research was conducted at RSUP Dr. M.
Djamil Padang in August – October 2020 with 54 samples. Result: The study found
there was 54 cases of inguinal herniation fit to the inclusion criteria with peak age
of 82 years old and average of 59.1 years old. Most patients were male (79.62 %).
There were 2 patients having chronic pain (7.41%) after herniorrhapy using the TAPP
technique and 1 more (3.71%) having chronic pain with TEP technique. Bivariate
analysis was done by Fisher Exact Test and the study concluded there was no
statistical significance in relationship of chronic post-operative pain incidence with
the particular technique chosen at herniorrhapy laparoscopy (p=1.000). Conclusion:
There was no significant relationship between the incidence of postoperative chronic
pain in patients undergoing laparascopic hernioraphy and TEP or TAPP procedure.