Reoperation for persistent pain after groin hernia surgery: a population-based study

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• 作者：N. Magnusson (1)
  U. Gunnarsson (2)
  P. Nordin (3)
  S. Smedberg (4)
  M. Hedberg (5)
  G. Sandblom (6)
  
  1. Department of Surgery ; 脰rebro University Hospital ; 脰rebro ; Sweden
  2. Department of Surgical and Perioperative Sciences ; Ume氓 University Hospital ; Ume氓 ; Sweden
  3. Department of Surgical and Perioperative Sciences ; Ume氓 University ; Ume氓 ; Sweden
  4. Department of Surgery ; Helsingborg Hospital ; Helsingborg ; Sweden
  5. Department of Surgery ; Mora Hospital ; Mora ; Sweden
  6. Division of Surgery ; Department of Surgery ; CLINTEC ; Karolinska Institute ; Solna ; Sweden
  
• 关键词：Hernia ; Pain ; Reoperation ; Register ; Ilioinguinal nerve
• 刊名：Hernia
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：19
• 期：1
• 页码：45-51
• 全文大小：388 KB
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  2. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia J Hernias Abdom Wall Surg 13(4):343鈥?03 CrossRef
  3. Aasvang EK, Brandsborg B, Christensen B, Jensen TS, Kehlet H (2008) Neurophysiological characterization of post herniotomy pain. Pain 137(1):173鈥?81 CrossRef
  4. Vuilleumier H, Hubner M, Demartines N (2009) Neuropathy after herniorrhaphy: indication for surgical treatment and outcome. World J Surg 33(4):841鈥?45 CrossRef
  5. Aasvang EK, Kehlet H (2009) The effect of mesh removal and selective neurectomy on persistent postherniotomy pain. Ann Surg 249(2):327鈥?34 CrossRef
  6. Amid PK (2004) Causes, prevention, and surgical treatment of postherniorrhaphy neuropathic inguinodynia: triple neurectomy with proximal end implantation. Hernia J Hernias Abdom Wall Surg 8(4):343鈥?49 CrossRef
  7. Delikoukos S, Fafoulakis F, Christodoulidis G, Theodoropoulos T, Hatzitheofilou C (2008) Re-operation due to severe late-onset persisting groin pain following anterior inguinal hernia repair with mesh. Hernia J Hernias Abdom Wall Surg 12(6):593鈥?95 CrossRef
  8. Giger U, Wente MN, Buchler MW, Krahenbuhl S, Lerut J, Krahenbuhl L (2009) Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery. Br J Surg 96(9):1076鈥?081 CrossRef
  9. Heise CP, Starling JR (1998) Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy? J Am Coll Surg 187(5):514鈥?18 CrossRef
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  11. Rosen MJ, Novitsky YW, Cobb WS, Kercher KW, Heniford BT (2006) Combined open and laparoscopic approach to chronic pain following open inguinal hernia repair. Hernia J Hernias Abdom Wall Surg 10(1):20鈥?4 CrossRef
  12. Seid AS, Amos E (1994) Entrapment neuropathy in laparoscopic herniorrhaphy. Surg Endosc 8(9):1050鈥?053 CrossRef
  13. Wong J, Anvari M (2001) Treatment of inguinodynia after laparoscopic herniorrhaphy: a combined laparoscopic and fluoroscopic approach to the removal of helical tackers. Surg Laparosc Endosc Percutan Tech 11(2):148鈥?51
  14. Lange JF, Kaufmann R, Wijsmuller AR, Pierie JP, Ploeg RJ, Chen DC, Amid PK (2014) An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia. doi:10.1007/s10029-014-1292-y [Epub ahead of print]
  15. Alfieri S, Amid PK, Campanelli G et al (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15(3):239鈥?49 CrossRef
  16. Amid PK, Chen DC (2011) Surgical treatment of chronic groin and testicular pain after laparoscopic and open preperitoneal inguinal hernia repair. J Am Coll Surg 213(4):531鈥?36 CrossRef
  17. Mahan MA, Kader AK, Brown JM (2014) Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note. Acta Neurochir (Wien) 156(1):171鈥?75 CrossRef
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  21. Dahlstrand U, Sandblom G, Nordin P, Wollert S, Gunnarsson U (2011) Chronic pain after femoral hernia repair: a cross-sectional study. Ann Surg 254(6):1017鈥?021 CrossRef
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  24. Bartlett DC, Porter C, Kingsnorth AN (2007) A pragmatic approach to cutaneous nerve division during open inguinal hernia repair. Hernia J Hernias Abdom Wall Surg 11(3):243鈥?46 CrossRef
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  26. Eklund A, Montgomery A, Bergkvist L, Rudberg C (2010) Chronic pain 5聽years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg 97(4):600鈥?08 CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Abdominal Surgery
  
• 出版者：Springer Paris
• ISSN：1248-9204

文摘

Purpose The aim of the present study was to assess the outcome results after reoperation for persistent pain after hernia surgery in a population-based setting. Methods All patients who had undergone surgery for persistent pain after previous groin hernia surgery 1999鈥?006 were identified in the Swedish Hernia Register (n聽=聽237). Data on the surgical technique used were abstracted from the medical records. The patients were asked to answer a set of questions including SF-36 to evaluate the prevalence of pain after reoperation. Results The study group consisted of 95 males and 16 females, mean age 53聽years. In 27聽% of cases an intervention aimed at suspected ilioinguinal neuralgia was performed. The mesh was removed completely in 28聽% and partially in 13聽%. A suture at the pubic tubercle was removed in 13聽% of cases. Decrease in pain after the most recent reoperation was reported by 69 patients (62聽%), no change in pain by 21 patients (19聽%) and increase in pain in 21 patients (19聽%). There was no significant difference in outcome between mesh removal, removal of sutures at the tubercle or interventions aimed at the ilioinguinal nerve. All subscales of SF-36 were significantly reduced when compared to the age- and gender-matched general population (p聽 Conclusions Patients reoperated for persistent pain after hernia surgery often report a reduction in pain, but the natural course of persistent pain, the relatively low response rate and selection of patients make it difficult to draw definite conclusions.