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Long-term follow-up evaluation of chronic pain after endoscopic total extraperitoneal repair of primary and recurrent inguinal hernia
- Source :
- Surgical Endoscopy, Surgical Endoscopy-Ultrasound and Interventional Techniques, 24(7), 1707-1711. Springer New York
- Publisher :
- Springer Nature
-
Abstract
- Background Long-term data on chronic pain after endoscopic total extraperitoneal (TEP) hernia repair are hardly available. Methods Between January 1997 and December 1998, 416 patients with consecutive primary and recurrent inguinal hernia underwent endoscopic TEP hernia repair. Long-term follow-up evaluation was carried out from June 2007 to June 2008. The primary outcome measure was persistent pain and discomfort interfering with daily activity. Results The overall response rate was 66% (273 of 416 patients). Of the 416 patients, 85 (20%) had died of causes unrelated to hernia repair and 58 (14%) were lost to follow-up. A total of 177 patients were physically examined in the outpatient clinic. Because 96 patients were not able to visit the outpatient’ clinic, they completed the survey by telephone. The median follow-up period was 10 years (range, 9–11 years). After TEP repair, 16 patients (6%) reported chronic groin pain, and 10 patients (4%) still experience pain at this writing after the 10-year follow-up period. One of the patients has experienced persistent pain and discomfort interfering with daily activity. Patients with preoperative pain have reported significantly more chronic pain (P = 0.03). Conclusions Chronic groin pain after TEP repair of primary and recurrent inguinal hernia seems to have a low incidence after a 10-year follow-up period.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Hernia, Inguinal
Chronic pain
Groin
Article
Recurrence
medicine
Humans
Hernia
Long-term follow-up
Pain, Postoperative
medicine.diagnostic_test
business.industry
Inguinal hernia
Endoscopy
Middle Aged
Surgical Mesh
medicine.disease
Hernia repair
Surgery
Surgical mesh
medicine.anatomical_structure
Treatment Outcome
TEP
Endoscopic
Chronic Disease
Female
business
Abdominal surgery
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 09302794
- Volume :
- 24
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Surgical Endoscopy
- Accession number :
- edsair.doi.dedup.....7d32eee3938e39d8c44fc52c3a7c706d
- Full Text :
- https://doi.org/10.1007/s00464-009-0833-4