The incidence and success of treatment for severe chronic groin pain after open, transabdominal preperitoneal, and totally extraperitoneal hernia repair.

World Journal of Surgery
Elizabeth BrightAshley R Dennison

Abstract

Chronic groin pain (CGP) is a significant cause of postoperative morbidity after inguinal hernia repair. Open, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) repair are all commonly performed methods of herniorrhaphy. The aim of this study was to compare the frequency of attendance at a chronic pain clinic (CPC) for CGP after open, TAPP or TEP repair. A retrospective review of all inguinal hernia repairs between January 1997 and December 2006 identified patients attending the CPC for CGP post-herniorrhaphy. In this study CGP post-herniorrhaphy was defined as pain that limited daily activities despite simple analgesia thereby requiring referral to the specialist CPC following surgical review. A total of 8513 patients underwent 9607 inguinal hernia repairs; 6497 (75.5%) were open, 1916 (22.3%) were TAPP, and 198 (2.3%) were TEP. Of these, 46 (0.71%) open, 22 (1.15%) TAPP, and 6 (3.03%) TEP repairs required attendance at CPC. A statistically significant difference in frequency of CPC attendance following laparoscopic versus open (P = 0.008), TEP versus open (P < or = 0.001), and TEP versus TAPP repair (P = 0.027) was observed. After an average of 1 year, 69% of patients were discharged symptom-free from the...Continue Reading

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Citations

Jan 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B ZendejasD R Farley
Jun 21, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M PatelA R Dennison
Feb 15, 2014·Applied Health Economics and Health Policy·Dmitrij Achelrod, Tom Stargardt
Jan 15, 2014·Philosophy, Ethics, and Humanities in Medicine : PEHM·Daniela Dantas LimaEgberto Ribeiro Turato
Jan 23, 2016·American Journal of Surgery·Philip SunDavid R Farley
Jul 26, 2011·Journal of the American College of Surgeons·Parviz K Amid, David C Chen
Nov 9, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J RigaudJ-J Labat
May 27, 2017·Asian Journal of Endoscopic Surgery·Anil Sharma, Priyank Chelawat
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Dec 2, 2019·ANZ Journal of Surgery·Bridget WatsonRoss Roberts
Jun 17, 2021·Scientific Reports·Felipe GirónRicardo Nassar

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