Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair
(2010) In British Journal of Surgery 97(4). p.600-608- Abstract
- Background: Chronic postoperative pain is a major drawback of inguinal hernia repair. This study compared the frequency of chronic pain after laparoscopic (totally extraperitoneal patch, TEP) and open (Lichtenstein) repairs. Methods: A randomized multicentre study with 5 years' follow-up was conducted on men with a primary inguinal hernia. Chronic pain was categorized as mild, moderate or severe by blinded observers. A subgroup analysis was performed on 121 patients who experienced moderate or severe pain at any time during follow-up. Results: Overall, 1370 of 1512 randomized patients underwent surgery, 665 in the TEP and 705 in the Lichtenstein group. The total incidence of chronic pain was 11.0 versus 21.7 per cent at 1 year, 11.0 versus... (More)
- Background: Chronic postoperative pain is a major drawback of inguinal hernia repair. This study compared the frequency of chronic pain after laparoscopic (totally extraperitoneal patch, TEP) and open (Lichtenstein) repairs. Methods: A randomized multicentre study with 5 years' follow-up was conducted on men with a primary inguinal hernia. Chronic pain was categorized as mild, moderate or severe by blinded observers. A subgroup analysis was performed on 121 patients who experienced moderate or severe pain at any time during follow-up. Results: Overall, 1370 of 1512 randomized patients underwent surgery, 665 in the TEP and 705 in the Lichtenstein group. The total incidence of chronic pain was 11.0 versus 21.7 per cent at 1 year, 11.0 versus 24.8 per cent at 2 years, 9.9 versus 20.2 per cent at 3 years and 9.4 versus 18.8 per cent at 5 years in the TEP and Lichtenstein groups respectively (P < 0.001). After 5 years, 1.9 per cent of patients in the TEP and 3.5 per cent in the Lichtenstein group reported moderate or severe pain (P = 0.092). Of the 121 patients, 72 (59.5 per cent) no longer reported pain a median of 9.4 (range 6.7-10.8) years after operation. Conclusion: Five years after surgery only a small proportion of patients still report moderate to severe chronic pain. Laparoscopic inguinal hernia repair leads to less chronic pain than open repair. Registration number: NCT00568269 (http://www.clinicaltrials.gov). (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1603963
- author
- Eklund, A. ; Montgomery, Agneta LU ; Bergkvist, L. and Rudberg, C.
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- British Journal of Surgery
- volume
- 97
- issue
- 4
- pages
- 600 - 608
- publisher
- Oxford University Press
- external identifiers
-
- wos:000276375400022
- scopus:77949373264
- ISSN
- 1365-2168
- DOI
- 10.1002/bjs.6904
- language
- English
- LU publication?
- yes
- id
- 9aa8c5f7-7796-43d6-877a-32f9731fad1a (old id 1603963)
- date added to LUP
- 2016-04-01 11:10:56
- date last changed
- 2022-04-28 07:49:46
@article{9aa8c5f7-7796-43d6-877a-32f9731fad1a,
abstract = {{Background: Chronic postoperative pain is a major drawback of inguinal hernia repair. This study compared the frequency of chronic pain after laparoscopic (totally extraperitoneal patch, TEP) and open (Lichtenstein) repairs. Methods: A randomized multicentre study with 5 years' follow-up was conducted on men with a primary inguinal hernia. Chronic pain was categorized as mild, moderate or severe by blinded observers. A subgroup analysis was performed on 121 patients who experienced moderate or severe pain at any time during follow-up. Results: Overall, 1370 of 1512 randomized patients underwent surgery, 665 in the TEP and 705 in the Lichtenstein group. The total incidence of chronic pain was 11.0 versus 21.7 per cent at 1 year, 11.0 versus 24.8 per cent at 2 years, 9.9 versus 20.2 per cent at 3 years and 9.4 versus 18.8 per cent at 5 years in the TEP and Lichtenstein groups respectively (P < 0.001). After 5 years, 1.9 per cent of patients in the TEP and 3.5 per cent in the Lichtenstein group reported moderate or severe pain (P = 0.092). Of the 121 patients, 72 (59.5 per cent) no longer reported pain a median of 9.4 (range 6.7-10.8) years after operation. Conclusion: Five years after surgery only a small proportion of patients still report moderate to severe chronic pain. Laparoscopic inguinal hernia repair leads to less chronic pain than open repair. Registration number: NCT00568269 (http://www.clinicaltrials.gov).}},
author = {{Eklund, A. and Montgomery, Agneta and Bergkvist, L. and Rudberg, C.}},
issn = {{1365-2168}},
language = {{eng}},
number = {{4}},
pages = {{600--608}},
publisher = {{Oxford University Press}},
series = {{British Journal of Surgery}},
title = {{Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair}},
url = {{http://dx.doi.org/10.1002/bjs.6904}},
doi = {{10.1002/bjs.6904}},
volume = {{97}},
year = {{2010}},
}