Long term inguinal pain comparing TEP to Lichtenstein repair : the TEPLICH RCT 8 years follow-up
(2025) In Hernia 29(1).- Abstract
Purpose: To investigate long-term chronic postoperative inguinal pain (CPIP), QoL and recurrence in patients with a primary inguinal hernia comparing TEP to Lichtenstein. Material and methods: A questionnaire-based follow-up containing the Inguinal Pain Questionnaire (IPQ), the Cunningham Pain Scale and SF-36 was done 8 years after the TEPLICH RCT. The main objective was non-ignorable pain last week according to IPQ. A phone interview was performed with patients reporting new non-ignorable pain and those having a suspected recurrence. Records were scanned for long-term CPIP and recurrences. A lost to follow-up analysis was performed. Results: A total of 322 of 366 patients (88%) completed the follow-up of mean 7.94 years (5–10.75... (More)
Purpose: To investigate long-term chronic postoperative inguinal pain (CPIP), QoL and recurrence in patients with a primary inguinal hernia comparing TEP to Lichtenstein. Material and methods: A questionnaire-based follow-up containing the Inguinal Pain Questionnaire (IPQ), the Cunningham Pain Scale and SF-36 was done 8 years after the TEPLICH RCT. The main objective was non-ignorable pain last week according to IPQ. A phone interview was performed with patients reporting new non-ignorable pain and those having a suspected recurrence. Records were scanned for long-term CPIP and recurrences. A lost to follow-up analysis was performed. Results: A total of 322 of 366 patients (88%) completed the follow-up of mean 7.94 years (5–10.75 years). Non-ignorable pain last week was reported by 7.6% in TEP and 6.7% in Lichtenstein (p < 0.73). New non-ignorable pain was reported by 5 patients. No difference in non-ignorable pain over time (1–8 years) was observed within groups. Moderate to severe pain, according to Cunningham, was reported by 3.8% in TEP and 5.5% in Lichtenstein (p < 0.48). QoL remained above the Swedish norm. No recurrences occurred after 3 years follow-up. The lost to follow-up analysis showed no difference in non-ignorable pain. Conclusions: RCTs, comparing TEP to Lichtenstein repair with follow-up ≥ 5 years regarding CPIP are sparse with conflicting data. In this study, low frequencies of CPIP present at 3 years seem to persist at 8 years. Recurrences occured within the first 3 years. Patients need to be informed of the risk of long-term CPIP.
(Less)
- author
- Gutlic, A.
LU
; Petersson, U. LU ; Rogmark, P. LU
and Montgomery, A. LU
- organization
- publishing date
- 2025-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Chronic pain, Inguinal hernia, Lichtenstein, QoL, Recurrence, TEP
- in
- Hernia
- volume
- 29
- issue
- 1
- article number
- 49
- publisher
- Springer
- external identifiers
-
- pmid:39699700
- scopus:85212772599
- ISSN
- 1265-4906
- DOI
- 10.1007/s10029-024-03246-y
- language
- English
- LU publication?
- yes
- id
- 738d8349-6301-4d6c-a7be-368bc39a0b3f
- date added to LUP
- 2025-03-03 11:09:55
- date last changed
- 2025-07-08 08:40:40
@article{738d8349-6301-4d6c-a7be-368bc39a0b3f, abstract = {{<p>Purpose: To investigate long-term chronic postoperative inguinal pain (CPIP), QoL and recurrence in patients with a primary inguinal hernia comparing TEP to Lichtenstein. Material and methods: A questionnaire-based follow-up containing the Inguinal Pain Questionnaire (IPQ), the Cunningham Pain Scale and SF-36 was done 8 years after the TEPLICH RCT. The main objective was non-ignorable pain last week according to IPQ. A phone interview was performed with patients reporting new non-ignorable pain and those having a suspected recurrence. Records were scanned for long-term CPIP and recurrences. A lost to follow-up analysis was performed. Results: A total of 322 of 366 patients (88%) completed the follow-up of mean 7.94 years (5–10.75 years). Non-ignorable pain last week was reported by 7.6% in TEP and 6.7% in Lichtenstein (p < 0.73). New non-ignorable pain was reported by 5 patients. No difference in non-ignorable pain over time (1–8 years) was observed within groups. Moderate to severe pain, according to Cunningham, was reported by 3.8% in TEP and 5.5% in Lichtenstein (p < 0.48). QoL remained above the Swedish norm. No recurrences occurred after 3 years follow-up. The lost to follow-up analysis showed no difference in non-ignorable pain. Conclusions: RCTs, comparing TEP to Lichtenstein repair with follow-up ≥ 5 years regarding CPIP are sparse with conflicting data. In this study, low frequencies of CPIP present at 3 years seem to persist at 8 years. Recurrences occured within the first 3 years. Patients need to be informed of the risk of long-term CPIP.</p>}}, author = {{Gutlic, A. and Petersson, U. and Rogmark, P. and Montgomery, A.}}, issn = {{1265-4906}}, keywords = {{Chronic pain; Inguinal hernia; Lichtenstein; QoL; Recurrence; TEP}}, language = {{eng}}, number = {{1}}, publisher = {{Springer}}, series = {{Hernia}}, title = {{Long term inguinal pain comparing TEP to Lichtenstein repair : the TEPLICH RCT 8 years follow-up}}, url = {{http://dx.doi.org/10.1007/s10029-024-03246-y}}, doi = {{10.1007/s10029-024-03246-y}}, volume = {{29}}, year = {{2025}}, }