A single-surgeon randomized trial comparing three meshes in lichtenstein hernia repair: 2- and 5-year outcome of recurrences and chronic pain

Paajanen, Hannu; Rönkä, Kirsi; Laurema, Anniina

doi:10.1016/j.ijsu.2012.11.020

Cited by 15 publications

(13 citation statements)

References 23 publications

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“…For example, a single surgeon RCT compared a partially absorbable mesh with lightweight and heavyweight Prolene meshes. After 5 years of follow-up, there were no differences in hernia recurrence rates, feeling of foreign material under the skin, pain or analgesic usage [27].…”

Section: Alternative Repair Materialsmentioning

confidence: 81%

Open Inguinal Hernia Repair Using Polypropylene Mesh: A Patient Reported Survey of Long-Term Outcomes

Bagshaw¹,

Weller²,

Shaw³

et al. 2015

J Curr Surg

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Section: Alternative Repair Materialsmentioning

confidence: 81%

Open Inguinal Hernia Repair Using Polypropylene Mesh: A Patient Reported Survey of Long-Term Outcomes

Bagshaw¹,

Weller²,

Shaw³

et al. 2015

J Curr Surg

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“…This ‘chronic' time frame ranged between 1 and 36 months [63,64,65,66,67]. Second, some studies included the quantitative factor PI in their definition of CPIP, which was either expressed using descriptive terms [68,69,70,71,72,73,74,75], a visual analog scale (VAS) score, or a QOL score [31,76,77,78,79,80,81,82,83,84,85]. …”

Section: Resultsmentioning

confidence: 99%

“…In 19 studies (24%), nonvalidated instruments were used [10,18,20,27,30,33,34,35,40,42,44,49,50,52,54,65,68,71,77,82]. The majority of these studies described these instrument using nonspecific phrases such as ‘a questionnaire was used' or ‘patients were interviewed'.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of these studies described these instrument using nonspecific phrases such as ‘a questionnaire was used' or ‘patients were interviewed'. Of these studies, 15 utilized a nonvalidated instrument in conjunction with a VAS [10,30,33,34,35,40,42,44,50,52,71,77,82], verbal rating scale [49], inguinal pain questionnaire (IPQ) [54], or functional index score [40]. …”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two studies (40%) had a validated assessment of both PI and QOL [11,14,19,20,22,24,29,31,34,38,40,41,43,45,48,53,54,56,58,60,62,65,67,73,74,76,84,86,87,88,89,90]; in 33 (41%) and 3 (4%) of the studies, respectively, there was only a validated assessment of PI [8,10,13,17,21,23,25,26,28,30,33,35,36,42,44,47,49,50,52,59,61,63,69,71,77,78,80,81,82,83,85] or QOL [46,51,57]. …”

Section: Resultsmentioning

confidence: 99%

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Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

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Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

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Establishing a Hernia Program

Bernardi

Liang

2018

The SAGES Manual of Hernia Surgery

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A single-surgeon randomized trial comparing three meshes in lichtenstein hernia repair: 2- and 5-year outcome of recurrences and chronic pain

Abstract: There were no statistical differences between the three meshes in pain, a feeling of a foreign body or use of analgesics after 5 years of Lichtenstein hernioplasty, when the same surgeon operated all patients with exactly the same surgical technique. CLINICAL TRIAL REGISTER: NCT01295437.

Cited by 15 publications

References 23 publications

Open Inguinal Hernia Repair Using Polypropylene Mesh: A Patient Reported Survey of Long-Term Outcomes

Open Inguinal Hernia Repair Using Polypropylene Mesh: A Patient Reported Survey of Long-Term Outcomes

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

Establishing a Hernia Program

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