Incidence of Chronic Pain After İngunial Hernia Repair

Karaman, Yücel; Özkarakaş, Hüseyin; Karaman, Semra; Turan, Murat; Gönüllü, Mustafa; Uyar, Meltem; Tekgül, Zeki Tuncel

doi:10.5505/agri.2015.55706

Cited by 2 publications

(2 citation statements)

References 28 publications

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“…Aasvang and Kehlet searched the literature between January 2000 -May 2004 and found that the risk of CPSP was 12% [30]. Karaman et al found that the incidence of pain, 3 months after surgery was 18.6% [31]. It is possible that the recognition of CPSP has increased after 2000 and as the prevention gained importance, the incidence might have declined.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with acute and chronic pain after inguinal herniorraphy

Erdoğan

Özenç

2018

Rom J Anaesth Int Care

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Objectives: The aim of this study was to analyse the relationship between types of anaesthesia, patients' demographic variables, preoperative emotional states and the prevalence of postoperative pain.Method: In this randomized prospective study, postoperative pain was assessed in 100 patients, who were ASA (American Society of Anaesthesiologist) I-II and between 18-65 years old, undergoing inguinal herniorrhaphy with either general or spinal anaesthesia. In addition, postoperative pain compared with patients' demographic properties and psychological conditions in each group was also considered. Acute pain was evaluated at 1, 2, 4, 6, 12 and 24 th hours with the Numerical Rating Scale (NRS) and chronic neuropathic pain was at 1, 2 and 3 rd months with Douleur Neuropathique 4 Questions (DN4). All patients were treated with the same analgesics after operation.Results: Group spinal anaesthesia had lower acute pain at 1 and 2 nd hours but they felt more severe pain at the 24 th hour. Also patients' anxieties were correlated with acute and chronic postoperative pain. Ten patients complained about postoperative chronic pain after 3 months and there was no significant difference between groups.Conclusion: Spinal anaesthesia decreased acute pain intensity at the first postoperative hours. Patients with anxiety felt high pain levels and they had an increased chronic pain prevalence.

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Section: Discussionmentioning

confidence: 99%

Factors associated with acute and chronic pain after inguinal herniorraphy

Erdoğan

Özenç

2018

Rom J Anaesth Int Care

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“…The intensity of pain after open inguinal hernia repair has been reported to be the highest on the first postoperative day [ 1 ]. Untreated postoperative pain or a high pain score within 24 h of surgery may lead to persistent pain after inguinal hernia repair [ 3 , 4 ]. Patients with prolonged pain have an increased duration of hospitalization and may fail to return to their daily lives [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of 5% lidocaine patches for postoperative pain management in patients undergoing unilateral inguinal hernia repair: study protocol for a prospective, double-blind, randomized, controlled clinical trial

Ahn

Kim

et al. 2022

Trials

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Background Acute postoperative pain is a common complication of inguinal hernia repair. Pain management using local application of anesthetic agents over the skin surrounding the surgical incision may reduce the requirement for other pain medications. Targeted topical analgesics such as 5% lidocaine patches have been known to improve acute and chronic pain. However, the clinical effect of lidocaine patches on postoperative pain after inguinal hernia repair has not been studied, especially in patients undergoing surgery at day surgery units. Methods/design This is a single-center, prospective, double-blind, randomized, controlled clinical trial. Participants with unilateral inguinal hernia will be randomized to the lidocaine patch group or the placebo patch group. Based on the randomized allocation sequence, either lidocaine patches or placebo patches will be attached near each participant’s surgical wound after open hernia repair under general anesthesia. Participants will be asked to follow up at our outpatient clinic on the first postoperative day and at 1 week after surgery. The primary outcome is pain intensity, which will be measured using the visual analog scale (VAS) at the time of discharge from the day surgery unit. The secondary outcomes are VAS score at 24 h and 1 week after surgery. We will collect and analyze the participants’ clinical data (amount of intraoperative opioid use, time to recovery, and pain intensity at 30 min after surgery) and demographic characteristics (age, sex, body weight, and height). Discussion This trial may not only provide evidence on the efficacy of a 5% lidocaine patch for acute postoperative pain management after unilateral inguinal hernia repair, but also demonstrate the efficacy and safety of the patch for post-discharge pain management. Trial registration ClinicalTrials.gov NCT04754451. Registered on February 10, 2021.

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Incidence of Chronic Pain After İngunial Hernia Repair

Cited by 2 publications

References 28 publications

Factors associated with acute and chronic pain after inguinal herniorraphy

Factors associated with acute and chronic pain after inguinal herniorraphy

Efficacy and safety of 5% lidocaine patches for postoperative pain management in patients undergoing unilateral inguinal hernia repair: study protocol for a prospective, double-blind, randomized, controlled clinical trial

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