Chronic pain and quality of life following open inguinal hernia repair

Poobalan, Amudha; Bruce, Julie; King, Peter; Chambers, W. A.; Krukowski, Z. H.; Smith, W. C.

doi:10.1046/j.0007-1323.2001.01828.x

Cited by 419 publications

(270 citation statements)

References 7 publications

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“…These findings are supported by our previous study in women undergoing gynecological surgery where all domains (except general health) and the two component scores improved six months after surgery. 23 Other reports have shown differences in HRQOL (social functioning, mental health, and pain) between those with and without chronic pain 24 and reduced HRQOL after several types of surgery, including inguinal hernia repair. 3,25 Compared with age-and sex-matched norms in the general population, we found that the general surgery cohort experienced lower levels of HRQOL (physical functioning, role-physical, general health, vitality, social functioning, and the PCS and MCS), and these scores remained well below Canadian norms six months after surgery.…”

Section: Discussionmentioning

confidence: 99%

Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery

VanDenKerkhof

Hopman

Reitsma

et al. 2012

Can J Anesth/J Can Anesth

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Objectives Our aim in this pilot study was to identify potential predictors of chronic post-surgical pain (CPSP) and other outcomes to consider for inclusion in future prospective studies of CPSP following abdominal gastrointestinal surgery. Methods We followed 76 surgical patients during this prospective single-centre cohort study. Pain characteristics, health-related quality of life (HRQOL), and healthcare utilization were assessed preoperatively, at six weeks postoperatively, and at six months postoperatively. Statistical analyses included descriptive statistics and repeated measures analysis of variance. Results Prior to surgery, 42% of patients reported no pain, 18% reported remote pain, and 33% reported pain at the surgical site. Six months after surgery, 29% of patients with preoperative remote pain and 35% of patients with preoperative pain at the surgical site reported CPSP. Painrelated interference declined from the preoperative to postoperative period; however, six months after surgery almost one-third of participants continued to report painrelated interference with mood (28%), sleep (30%), and enjoyment of life (30%). Consistent with studies of other surgical procedures, measures of anxiety and depression were associated with an increased risk of CPSP. During the six months following surgery, 12% of patients visited the Emergency Department, 15% visited non-traditional providers, and 9.2% visited a walk-in clinic for pain. Compared with Canadian norms, HRQOL was poorer in all domains preoperatively, in all domains but mental health six weeks postoperatively, and in most domains six months postoperatively. Conclusion This feasibility study provides a template for future studies of CPSP following gastrointestinal surgery. Author contributions Elizabeth VanDenKerkhof and WilmaHopman contributed substantially to all aspects of this manuscript, including conception and design; acquisition, analysis, and interpretation of data; drafting the article, and revising the article critically for important intellectual content. Rosemary Wilson contributed substantially to the conception and design of the manuscript. Paul Belliveau and Rosemary Wilson contributed substantially to the acquisition of data. Michelle Reitsma and David Goldstein also contributed to the acquisition of data. Michelle Reitsma contributed to the analysis of data. Paul Belliveau, Rosemary Wilson, and Ian Gilron contributed substantially to the interpretation of data. David Goldstein also contributed to the interpretation of data. Michelle Reitsma contributed to drafting the article. Paul Belliveau, Rosemary Wilson, and Ian Gilron contributed substantially to revising the article critically for important intellectual content. David Goldstein also contributed to revising the article critically for important intellectual content. Results suggest a substantial burden of persistent pain, healthcare utilization, and decreased HRQOL. Largerscale studies that are similarly designed will serve to identify predictors of CPSP in this surgical ...

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Section: Discussionmentioning

confidence: 99%

Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery

VanDenKerkhof

Hopman

Reitsma

et al. 2012

Can J Anesth/J Can Anesth

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“…Ancak VKİ artışı ile kronik ağrı arasında ilişki saptamayan çalışmalar da bulunmaktadır. [9,14] Çalışmamızda; obezlerde kronik ağrı insidansı daha yüksek oranda görülmekle birlikte istatistiksel olarak anlamlı bir ilişki saptanmadı.…”

Section: Discussionunclassified

“…[3,14] Çalışmamızda; medeni durumun, bir işte çalışıyor ya da işsiz olmanın ameliyat sonrası kronik ağrı gelişiminde risk faktörü olmadığını saptadık.…”

Section: Discussionunclassified

Incidence of Chronic Pain After İngunial Hernia Repair

Karaman

Özkarakaş²,

Karaman

et al. 2015

Agri

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Summary Objectives: The percentage of chronic pain in adults having inguinal hernia repair is 5-35%. Although this pain is thought to be related to some reasons, there is not an exact conclusion about this. In this study, the aim was to point out the incidence of chronic pain ÖzetAmaç: İnguinal herni onarımı sonrası erişkinlerde %5-35 oranında kronik ağrı gelişmektedir. Bu ağrının; uygulanan cerrahi tekniğe, ameliyat öncesi ve sonrası ağrıya, hastanın psikososyal ve fizyolojik yapısına veya diğer nedenlere bağlı oluşabileceği belirtilmekle birlikte kesin bir fikir birliği bulunmamaktadır. Bu çalışmada; inguinal herni onarımı sonrası gelişen kronik ağrının görülme sıklığı ve risk faktörlerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: 2011 yılı Ocak ayı ile 2012 yılı Aralık ayı arasında inguinal herni onarımı yapılan 204 hasta çalışmaya dahil edildi. İlk 24 saat içindeki akut ağrıları VAS ile ölçülen hastaların operasyon sonrası üçüncü ve altıncı ay içerisindeki bulguları telefon görüşmesi ile kaydedildi. Ağrı veya başka bir rahatsızlığın varlığı, ağrı kesici ilaç kullanımı, VAS değerleri ve ağrının karakterine ilişkin bulgular araştırıldı. Operasyondan üç ay sonrasında VAS ≥3 olan hastalardaki ağrı, kronik ağrı olarak değerlendirildi. Bulgular: Operasyondan üç ay sonrasında devam eden ameliyat sonrası ağrı insidansı %18, altı ay sonra sonrasında ise %11.2 olarak bulundu. Hastaların %78.3'ünde ameliyat öncesi ağrı olduğu ve %21.8'inde kronik ağrı geliştiği saptandı. Ameliyat sonrası ilk 24 saatteki VAS değerlerinin ortalaması kronik ağrı gelişenlerde 3.13±1.12 ve kronik ağrı gelişmeyenlerde ise 1.71±1.27 olarak bulundu. Herni onarımı reoperasyonu olan hastaların (%5.2) hepsinde kronik ağrı geliştiği görüldü. Hastaların %48'inde kronik ağrı nöropatik özellikler taşıyordu ve şiddeti orta düzeyde idi. Sonuç: İnguinal herni onarımı sonrası %18 olarak bulduğumuz ameliyat sonrası kronik ağrı oranı yapılan benzer çalışmalar ile uyumludur. Diğer risk faktörleri ile karşılaştırıldığında; ameliyat öncesi dönemde ağrının varlığı, ameliyat sonrası akut ağrının şiddeti ve reoperasyonlar ameliyat sonrası kronik ağrının gelişiminde en önemli risk faktörleri olarak değerlendirildi.Anahtar sözcükler: Ameliyat sonrası kronik ağrı; inguinal herni onarımı; nöropatik ağrı; risk faktörleri.

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“…In the present series groin pain was reported by 6% to 20% of patients in different techniques in early stage (up to 6-8 weeks) which settled and by the end of 2 years groin pain One patient had persistent erectile dysfunction in this review which is not new (22). Men frequently complain of impotence in the immediate aftermath of a hernia repair [24].…”

Section: Discussionmentioning

confidence: 99%

“…Chronic pain has been reported to occur in up to 25-30% of patients after open inguinal hernia repair [20][21][22] This has obvious cost implications for the health service as well as the economy as a whole.…”

Section: Discussionmentioning

confidence: 99%

Review of Inguinal Hernia Repairs by Various Surgical Techniques in a District General Hospital in the UK

et al. 2011

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Inguinal hernia is the commonest surgical operation. This is a large study from a district general hospital. The study spanned over 2 years with 2 further years of follow up. It is a retrospective analysis of eight hundred and seventy seven (877)inguinal hernia operations performed in a district general hospital. The following factors were looked at: type of repair, grade of surgeon performing the procedure and outcome of various repairs. The results showed that the most common technique was the Lichenstein's repair(58%). Recurrence rates were between 0.4%-30% depending on types of hernia repair.

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Chronic pain and quality of life following open inguinal hernia repair

Abstract: Chronic pain occurred in 30 per cent of patients after open hernia repair, a higher frequency than has been reported previously. Several risk factors were identified and further prospective research is recommended.

Cited by 419 publications

References 7 publications

Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery

Chronic pain, healthcare utilization, and quality of life following gastrointestinal surgery

Incidence of Chronic Pain After İngunial Hernia Repair

Review of Inguinal Hernia Repairs by Various Surgical Techniques in a District General Hospital in the UK

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