04046nam a2200457 cb4500 99377354924806441 DE-605 20260902135633.0 cr#||||||||||| 260820|2026 gw om ||| | eng c urn:nbn:de:hbz:38m-frl:65293637 urn 10.4126/FRL01-006529363 doi (DE-605)HT031572286 (DE-599)HBZHT031572286 DE-38M ger DE-38M DE-38M rda eng XA-DE DE-98 DE-38M 610 Mainprize, Marguerite Yvonne aut Verfasser Approaching pain after groin hernia repair a complete and specialized patient-centered treatment model based on the Shouldice Hospital from Marguerite Yvonne Mainprize ; from the University Hospital Brandenburg an der Havel and the Faculty of Health Sciences Brandenburg the Brandenburg Medical School Theodor Fontane Neuruppin 2026 1 Online-Ressource (50 ungezählte Seiten) Text txt rdacontent Computer c rdamedia Online-Ressource cr rdacarrier Dissertation Medizinische Hochschule Brandenburg Theodor Fontane 2026 kumulative Dissertation Open Access Unrestricted online access star The purpose of the presented publications was to examine the approach and results of pain management at the Shouldice Hospital, which utilizes a complete and specialized method. Located in Canada, the Shouldice Hospital has been a renowned hernia center for 80 years, performing 7,000 hernia operations each year. In the publication “Incidence of opioid use and early postoperative pain intensity after primary unilateral inguinal hernia repair at a single-center specialty hospital”, less than 10% of participants received postoperative opioids, and postoperative pain intensity did differ between those who did and did not receive opioids. In “Matching males and females undergoing non mesh primary unilateral inguinal hernia repair: evaluating sex differences in preoperative and acute postoperative pain”, the results showed no significant differences in postoperative pain when male and female participants were matched on important pain-related variables. In “Matching males and females undergoing Shouldice Repair using a prospective, longitudinal design”, significant differences were observed between male and female participants three months after inguinal hernia surgery, but these differences disappeared at one-year after surgery. In “Quality of life following Shouldice Repair: a prospective cohort study among inguinal hernia patients”, health scores significantly reduced one week after surgery but were significantly higher than preoperative scores at one and six months after surgery. The findings from the presented publications accentuate the specialized approach at the Shouldice Hospital by emphasizing minimal opioid use, no gender differences related to acute postoperative pain and mixed chronic gender differences in postoperative pain, and notable improvements in quality of life after surgery Creative Commons Attribution-NoDerivatives 4.0 International License CC-BY-ND https://creativecommons.org/licenses/by-nd/4.0/ https://creativecommons.org/licenses/by-nd/4.0/ Hochschulschrift (DE-588)4113937-9 gnd-content Medizinische Hochschule Brandenburg Theodor Fontane (DE-588)1141300486 dgg Grad-verleihende Institution Neuruppin (DE-588)4041908-3 gnd uvp Hochschulort https://repository.publisso.de/resource/frl:6528631 Volltext Langzeitarchivierung kostenfrei https:/nbn-resolving.org/urn:nbn:de:hbz:38m-frl:65293637 Volltext Langzeitarchivierung Nationalbibliothek kostenfrei 99377354924806441 DE-98 NRW d 99377354924806441 DE-38M NRW d iall OA 38 M: ellinet; GND: (DE-588)1141300486