Pain and sensory dysfunction 6 to 12 months after inguinal herniotomy
(2004) In Anesthesia and Analgesia 99(1). p.146-151- Abstract
- Inguinal hernia repair is associated with a 5%-30% incidence of chronic pain, but the pathogenesis remains unknown. We therefore evaluated pain and sensory dysfunction by quantitative sensory testing 6-12 mo after open herniorrhaphy. Before sensory testing, all patients (n = 72) completed a short-form McGill Pain Questionnaire and a functional impairment questionnaire. Sensory dysfunction in the incisional area was evaluated by quantification of thermal and mechanical thresholds, by mechanical pain responses (von Frey/pressure algometry), and by areas of pinprick hypoesthesia and tactile allodynia. The incidence of chronic pain was 28% (20 of 72). Quantitative sensory testing and pressure algometry did not demonstrate differences between... (More)
- Inguinal hernia repair is associated with a 5%-30% incidence of chronic pain, but the pathogenesis remains unknown. We therefore evaluated pain and sensory dysfunction by quantitative sensory testing 6-12 mo after open herniorrhaphy. Before sensory testing, all patients (n = 72) completed a short-form McGill Pain Questionnaire and a functional impairment questionnaire. Sensory dysfunction in the incisional area was evaluated by quantification of thermal and mechanical thresholds, by mechanical pain responses (von Frey/pressure algometry), and by areas of pinprick hypoesthesia and tactile allodynia. The incidence of chronic pain was 28% (20 of 72). Quantitative sensory testing and pressure algometry did not demonstrate differences between the pain and nonpain groups, except for a small but significant increase in pain response to von Frey hair and brush stimulation in the pain group. Hypoesthesia, or tactile allodynia, in the incisional area was observed in 51% (37 of 72) of the patients, but the incidence did not differ significantly between the pain group and the nonpain group (14 of 20 versus 23 of 52; P > 0.3). We concluded that cutaneous hypoesthesia, or tactile allodynia, is common after inguinal herniotomy but has a low specificity for chronic postherniotomy pain. Factors other than nerve damage maybe involved in the development of chronic postherniotomy pain. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/274428
- author
- Mikkelsen, T ; Werner, Mads LU ; Lassen, B and Kehlet, H
- organization
- publishing date
- 2004
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Anesthesia and Analgesia
- volume
- 99
- issue
- 1
- pages
- 146 - 151
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- wos:000222256400030
- pmid:15281521
- scopus:3042604945
- ISSN
- 1526-7598
- DOI
- 10.1213/01.ANE.0000115147.14626.C5
- language
- English
- LU publication?
- yes
- id
- 0b9ce1d6-6757-49b9-aeef-85083886f46c (old id 274428)
- date added to LUP
- 2016-04-01 16:35:59
- date last changed
- 2022-02-27 22:18:00
@article{0b9ce1d6-6757-49b9-aeef-85083886f46c,
abstract = {{Inguinal hernia repair is associated with a 5%-30% incidence of chronic pain, but the pathogenesis remains unknown. We therefore evaluated pain and sensory dysfunction by quantitative sensory testing 6-12 mo after open herniorrhaphy. Before sensory testing, all patients (n = 72) completed a short-form McGill Pain Questionnaire and a functional impairment questionnaire. Sensory dysfunction in the incisional area was evaluated by quantification of thermal and mechanical thresholds, by mechanical pain responses (von Frey/pressure algometry), and by areas of pinprick hypoesthesia and tactile allodynia. The incidence of chronic pain was 28% (20 of 72). Quantitative sensory testing and pressure algometry did not demonstrate differences between the pain and nonpain groups, except for a small but significant increase in pain response to von Frey hair and brush stimulation in the pain group. Hypoesthesia, or tactile allodynia, in the incisional area was observed in 51% (37 of 72) of the patients, but the incidence did not differ significantly between the pain group and the nonpain group (14 of 20 versus 23 of 52; P > 0.3). We concluded that cutaneous hypoesthesia, or tactile allodynia, is common after inguinal herniotomy but has a low specificity for chronic postherniotomy pain. Factors other than nerve damage maybe involved in the development of chronic postherniotomy pain.}},
author = {{Mikkelsen, T and Werner, Mads and Lassen, B and Kehlet, H}},
issn = {{1526-7598}},
language = {{eng}},
number = {{1}},
pages = {{146--151}},
publisher = {{Lippincott Williams & Wilkins}},
series = {{Anesthesia and Analgesia}},
title = {{Pain and sensory dysfunction 6 to 12 months after inguinal herniotomy}},
url = {{http://dx.doi.org/10.1213/01.ANE.0000115147.14626.C5}},
doi = {{10.1213/01.ANE.0000115147.14626.C5}},
volume = {{99}},
year = {{2004}},
}