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Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty

Received: 7 February 2015    Accepted: 13 February 2015    Published: 9 May 2015
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Abstract

Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery- related factors. Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical practice for reducing pain and other symptoms following musculoskeletal injury. This current study was designed to detect the therapeutic efficacy of Interferential Therapy as a method of treatment to reduce chronic post operative pain after inguinal hernia repair. Subjects and Methods: A total of 40 adult male patients were operated upon as inguinal hernioplasty with synthetic mesh repair and their ages were ranged from 30-50 years. Patients were randomly assigned into two equal groups; Group A (Interferential Therapy group) and Group B (Control group). Patients of group A underwent inguinal hernioplasty with synthetic mesh and received the application of interferential therapy over the operative skin incisions in addition they received the routine postoperative analgesia. Regarding the postoperative pain, the assessment approaches were subdivided into 3 main procedures: Visual Analog Scale, prosthesis awareness and physical activity. Results: Total pain score was the sum VAS, prosthesis awareness and physical activity scores. We observed that statistical analysis of total pain scores and the final scores per patient in both groups of this study were statistically significant. Conclusion: Interferential current as a supplement to traditional analgesia in the early postoperative course in hernia repair with mesh seems to be more effective for reducing pain than traditional postoperative analgesia alone. Interferential current therapy is a noninvasive therapy for relief from chronic post-surgical pain. It provides a safe, with minimal side effects and effective alternative to pharmacological approaches to pain control.

Published in Journal of Surgery (Volume 3, Issue 2-1)

This article belongs to the Special Issue Postoperative Pain Syndrome

DOI 10.11648/j.js.s.2015030201.13
Page(s) 14-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Inguinal Hernioplasty, Interferential Therapy, Chronic Pain

References
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[2] Saber A, Ellabban G, Gad M, Elsayem K. Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study. BMC Surg, 2012, 30: 12:22.
[3] Hakeem A, Shanmugam V.: “Inguinodynia following Lichtenstein tension-free hernia repair:” a review. World journal of gastroenterology,2011, 17(14):1791-6.
[4] Keller JE, Stefanidis D, Dolce CJ, Iannitti DA, Kercher KW, Heniford BT. “Combined open and laparoscopic approach to chronic pain after inguinal hernia repair.” Am Surg 2008; 74: 695-700.
[5] Ferzli GS, Edwards ED, Khoury GE. “Chronic pain after inguinal herniorrhaphy.” J Am Coll Surg 2007; 205: 333-341.
[6] Beatti A, Rayner A, Chipchase L, Souvlis T. Penetration and spread of interferential current in cutaneous, subcutaneous and muscle tissues. Physiotherapy,2011, 97:319–326.
[7] Jorge S, Parada C, Ferreira S, Tambeli C. Interferential therapy produces antinociception during application in various models of inflammatory pain. Phys. Ther,2006, 86(6): 800-808.
[8] Jensen MP, Chen C, Brugger AM. Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. J Pain. 2003 ;4(7):407-14.
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[10] Schouten N, Van Dalen T, Smakman N, Elias S, Clevers G, Verleisdonk E, Davids P, Burgmans I. The effect of ultrapro or prolene mesh on postoperative pain and well-being following endoscopic Totally Extraperitoneal (TEP) hernia repair (TULP). study protocol for a randomized controlled trial. Trials,2012, Jun 7;13:76.
[11] Erhan Y, Erhan E, Aydede H, Mercan M, Tok D.Chronic pain after Lichtenstein and preperitoneal (posterior) hernia repair. Can J Surg,2008,October; 51(5): 383–387.
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[13] Koninger J, Redecke J, Butters M. Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langenbecks Arch Surg,2004, 389:361-5.
[14] Aroori S, Spence R.Chronic pain after hernia surgery –An Informed Consent Issue. Ulster Med J,2007, 76(3): 136–140.
[15] Amid P. Causes, prevention, and surgical treatment of postherniorrhaphy neuropathic inguinodynia: triple neurectomy with proximal end implantation. Hernia,2004, 8(4):343-9.
[16] Johnson M, Tabasam G. An investigation into the analgesic effects of interferential currents and transcutaneous electrical nerve stimulation on experimentally induced ischemic pain in otherwise pain-free volunteers. Phys. Ther.2003,83(3):208-23.
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  • APA Style

    Heba M. Mohamady, Asmaa A. Saber, Aly Saber. (2015). Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty. Journal of Surgery, 3(2-1), 14-17. https://doi.org/10.11648/j.js.s.2015030201.13

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    ACS Style

    Heba M. Mohamady; Asmaa A. Saber; Aly Saber. Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty. J. Surg. 2015, 3(2-1), 14-17. doi: 10.11648/j.js.s.2015030201.13

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    AMA Style

    Heba M. Mohamady, Asmaa A. Saber, Aly Saber. Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty. J Surg. 2015;3(2-1):14-17. doi: 10.11648/j.js.s.2015030201.13

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  • @article{10.11648/j.js.s.2015030201.13,
      author = {Heba M. Mohamady and Asmaa A. Saber and Aly Saber},
      title = {Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty},
      journal = {Journal of Surgery},
      volume = {3},
      number = {2-1},
      pages = {14-17},
      doi = {10.11648/j.js.s.2015030201.13},
      url = {https://doi.org/10.11648/j.js.s.2015030201.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2015030201.13},
      abstract = {Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery- related factors. Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical practice for reducing pain and other symptoms following musculoskeletal injury. This current study was designed to detect the therapeutic efficacy of Interferential Therapy as a method of treatment to reduce chronic post operative pain after inguinal hernia repair. Subjects and Methods: A total of 40 adult male patients were operated upon as inguinal hernioplasty with synthetic mesh repair and their ages were ranged from 30-50 years. Patients were randomly assigned into two equal groups; Group A (Interferential Therapy group) and Group B (Control group). Patients of group A underwent inguinal hernioplasty with synthetic mesh and received the application of interferential therapy over the operative skin incisions in addition they received the routine postoperative analgesia. Regarding the postoperative pain, the assessment approaches were subdivided into 3 main procedures: Visual Analog Scale, prosthesis awareness and physical activity. Results: Total pain score was the sum VAS, prosthesis awareness and physical activity scores. We observed that statistical analysis of total pain scores and the final scores per patient in both groups of this study were statistically significant. Conclusion: Interferential current as a supplement to traditional analgesia in the early postoperative course in hernia repair with mesh seems to be more effective for reducing pain than traditional postoperative analgesia alone. Interferential current therapy is a noninvasive therapy for relief from chronic post-surgical pain. It provides a safe, with minimal side effects and effective alternative to pharmacological approaches to pain control.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty
    AU  - Heba M. Mohamady
    AU  - Asmaa A. Saber
    AU  - Aly Saber
    Y1  - 2015/05/09
    PY  - 2015
    N1  - https://doi.org/10.11648/j.js.s.2015030201.13
    DO  - 10.11648/j.js.s.2015030201.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 14
    EP  - 17
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2015030201.13
    AB  - Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery- related factors. Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical practice for reducing pain and other symptoms following musculoskeletal injury. This current study was designed to detect the therapeutic efficacy of Interferential Therapy as a method of treatment to reduce chronic post operative pain after inguinal hernia repair. Subjects and Methods: A total of 40 adult male patients were operated upon as inguinal hernioplasty with synthetic mesh repair and their ages were ranged from 30-50 years. Patients were randomly assigned into two equal groups; Group A (Interferential Therapy group) and Group B (Control group). Patients of group A underwent inguinal hernioplasty with synthetic mesh and received the application of interferential therapy over the operative skin incisions in addition they received the routine postoperative analgesia. Regarding the postoperative pain, the assessment approaches were subdivided into 3 main procedures: Visual Analog Scale, prosthesis awareness and physical activity. Results: Total pain score was the sum VAS, prosthesis awareness and physical activity scores. We observed that statistical analysis of total pain scores and the final scores per patient in both groups of this study were statistically significant. Conclusion: Interferential current as a supplement to traditional analgesia in the early postoperative course in hernia repair with mesh seems to be more effective for reducing pain than traditional postoperative analgesia alone. Interferential current therapy is a noninvasive therapy for relief from chronic post-surgical pain. It provides a safe, with minimal side effects and effective alternative to pharmacological approaches to pain control.
    VL  - 3
    IS  - 2-1
    ER  - 

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Author Information
  • Lecturer of Physical Therapy Department for Surgery, Faculty of Physical Therapy, Cairo, Cairo University, Egypt

  • Port-Fouad general Hospital, Port-Fouad, Egypt

  • Port-Fouad general Hospital, Port-Fouad, Egypt

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