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Factors predicting chronic pain after open inguinal hernia repair : a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study)
- Publication Year :
- 2018
-
Abstract
- Correction: Volume: 22 Issue: 5 Pages: 819-819 DOI: 10.1007/s10029-018-1788-y WOS:000446065400016 Chronic pain after inguinal hernioplasty is the foremost side-effect up to 10-30% of patients. Mesh fixation may influence on the incidence of chronic pain after open anterior mesh repairs. Some 625 patients who underwent open anterior mesh repairs were randomized to receive one of the three meshes and fixations: cyanoacrylate glue with low-weight polypropylene mesh (n = 216), non-absorbable sutures with partially absorbable mesh (n = 207) or self-gripping polyesther mesh (n = 202). Factors related to chronic pain (visual analogue scores; VAS ae 30, range 0-100) at 1 year postoperatively were analyzed using logistic regression method. A second analysis using telephone interview and patient records was performed 2 years after the index surgery. At index operation, all patient characteristics were similar in the three study groups. After 1 year, chronic inguinal pain was found in 52 patients and after 2 years in only 16 patients with no difference between the study groups. During 2 years' follow-up, three (0.48%) patients with recurrences and five (0.8%) patients with chronic pain were re-operated. Multivariate regression analysis indicated that only new recurrent hernias and high pain scores at day 7 were predictive factors for longstanding groin pain (p = 0.001). Type of mesh or fixation, gender, pre-operative VAS, age, body mass index or duration of operation did not predict chronic pain. Only the presence of recurrent hernia and early severe pain after index operation seemed to predict longstanding inguinal pain.
- Subjects :
- Male
Visual Analog Scale
Hernia, Inguinal
030230 surgery
Logistic regression
LIGHTWEIGHT
law.invention
0302 clinical medicine
Postoperative Complications
Randomized controlled trial
law
Recurrence
Absorbable Implants
Cyanoacrylates
Prospective Studies
Chronic inguinal pain
Mesh fixation
2. Zero hunger
POLYPROPYLENE MESH
Chronic pain
Middle Aged
META-ANALYSIS
3. Good health
medicine.anatomical_structure
030220 oncology & carcinogenesis
Regression Analysis
Female
Chronic Pain
HERNIOPLASTY
Lichtenstein hernioplasty
ABSORBABLE SUTURES
medicine.medical_specialty
Polyesters
Polypropylenes
CLINICAL-TRIAL
03 medical and health sciences
medicine
Humans
SELF-GRIPPING MESH
Groin
SUTURED MESH
business.industry
Inguinal hernia
Surgical Mesh
medicine.disease
3126 Surgery, anesthesiology, intensive care, radiology
Surgery
Clinical trial
LICHTENSTEIN TECHNIQUE
Tissue Adhesives
business
Body mass index
HERNIORRHAPHY
Abdominal surgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....9aace8e30126958266f7b643e62857a5