Early pain after laparoscopic inguinal hernia repair. A qualitative systematic review

Abstract

Early pain within the first week after TAPP and TEP is most severe on the first post-operative day, and the pain pattern is dominated by deep abdominal pain. Early post-operative pain is most intense in younger patients and can be predicted by pre-operative high pain response to experimental heat stimulation.

Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair

“…The rate of chronic pain after laparoscopic incisional hernia repair was roughly 7–8 per cent in other small‐scale studies. In the present study, hernia recurrence and young age (18–50 versus 61–70 years) were independent risk factors for chronic pain after incisional hernia repair, similar to chronic pain after umbilical and epigastric hernia repair, and inguinal hernia repair. The present study had no information on preoperative pain levels, which could have influenced subsequent chronic pain, but there is no apparent reason to believe that the two mesh fixation groups should be different.…”

TEP for elective primary unilateral inguinal hernia repair in men: what do we know?

“…A systematic review of early pain after laparoendoscopic inguinal hernia repair found that TEP was associated with the greatest pain intensity on postoperative day 1 [97], with the greatest pain intensity observed in young men [97]. The rate of moderate to severe chronic pain identified in a systematic review after laparoendoscopic repair was 1.1% [98].…”

Systematic review: laparoscopic treatment of long-standing groin pain in athletes

“…There was no difference in operative time or long-term neuralgia 40. Tolver et al 11 analysed early pain response within the first postoperative week after TEP and TAPP surgery in inguinal hernia surgery. That study included 71 eligible studies with 14 023 patients with hernia, and no difference in pain intensity and duration when TEP and TAPP were compared was noticed.…”