Anatomical and Physiological Aspects of Postoperative Analgesia in Patients Under Laparoscopic Interventions on the Anterior Abdominal Wall

Objective of the study – to evaluate the clinical effectiveness of various hernioplasty techniques for postoperative ventral hernias based on operative duration, incidence of postoperative complications, severity of pain, and analgesic requirements; and to assess the impact of preemptive administration of nonsteroidal anti-inflammatory drugs on postoperative pain intensity and opioid consumption.Research results. This study analyzes the outcomes of various hernioplasty techniques in patients with diastasis of the rectus abdominis muscles, focusing on operative duration, postoperative recovery, pain severity, and complication rates. The findings demonstrate that laparoscopic mesh repair is associated with significantly reduced surgical trauma, faster wound healing, shorter hospital stays, and lower postoperative analgesic requirements compared to open repair techniques. A particular emphasis was placed on the role of postoperative pain management. Patients undergoing open mesh repair experienced more intense pain and required prolonged use of analgesics. In contrast, laparoscopic procedures resulted in milder pain and a reduced need for opioid analgesics. The study also evaluated the efficacy of preemptive intravenous ibuprofen administration in laparoscopic surgery. This approach led to a 35% reduction in opioid consumption and lower pain scores during the first 24 hours postoperatively. These results are consistent with recent studies confirming the benefits of NSAID-based multimodal analgesia in minimizing opioid-related adverse effects.Conclusion. Minimally invasive hernioplasty combined with preemptive NSAID administration constitutes an effective strategy to improve postoperative outcomes, accelerate functional recovery, and enhance overall patient safety and quality of life.