Research Article

Effect of Preoperative Inflammatory Status and Comorbidities on Pain Resolution and Persistent Postsurgical Pain after Inguinal Hernia Repair

Table 1

Characteristics of patients with and without persistent postsurgical pain (PPSP) at 3 months after surgery according to postoperative group of treatment.

Group ketorolacGroup tramadol
No PPSPPPSPNo PPSPPPSP
()()()()

Age (years)58 ± 1449 ± 1456 ±1558 ± 11
BMI (kg/m2)25 ± 2.425 ± 2.825 ± 3.026 ± 3.0
Preoperative NLR2.3 ± 0.91.85 ± 0.22.3 ± 0.91.87 ± 0.5
Proinflammatory condition ()8 [8%]0 [0%]9 [10%]1 [17%]
Hypertension ()20 [23%]5 [42%]21 [23%]2 [33%]
Anxiety depression ( - %)7 [8%]1 [8%]8 [9%]1 [17%]
Postoperative NRS ≥ 6/10 at 24 h ()8 [9%]1 [13%]7 [8%]0 [0%]
Type of anesthesia ()
 General22 [26%]2 [17%]20 [22%]0 [0%]
 Spinal40 [47%]1 [8%]46 [51%]2 [33%]
 Local infiltration24 [28%]9 [75%]24 [27%]4 [67%]

between patients with PPSP and patients with no PPSP in ketorolac group of treatment; between patients with PPSP and patients with no PPSP in ketorolac group of treatment. There were no other statistically significant differences among the groups presented in the table. Proinflammatory condition was defined as follows: either the presence or combination of BMI ≥ 30 kg/m2, NLR ≥ 4, or the existence of a proinflammatory medical condition (rheumatologic disease, bowel disease, Crohn’s disease, and migraine headache).