PURPOSE: The incidence of chronic groin pain (CGP) and its impact on quality of life (QoL) after hernia repair are not clear with follow-up either being short or retrospective. We present 10-year prospective follow-up of a randomized trial for bilateral and recurrent hernia repair focusing on CGP and its impact on QoL. METHODS:Patients enrolled between 1997 and 2000 were contacted by telephone and asked about the presence of CGP. Those patients with CGP were sent two validated questionnaires: a SF-12v2 Health Survey and a Pain Impact Questionnaire (PIQ-6) (QualityMetric, USA). RESULTS:One hundred and twenty patients were recruited into the original study, and of these, 14 complained of CGP and were sent a PIQ-6 and a SF-12 v2 health survey. Overall, there was a higher incidence of CGP in the laparoscopic group compared with the open group (15 vs. 8 %, ns), but the severity of the pain in the laparoscopic group was less (2 vs. 3.5, p = 0.0558). QoL was significantly reduced in patients with CGP compared with the US norm. The laparoscopic group scored higher in 5 out of 8 of the QoL categories compared with the open group, but this was not significant. Overall age-adjusted scores revealed those under 65 years of age felt they had poorer physical health, and this reduced their QoL compared to normal values. CONCLUSION:CGP following laparoscopic surgery for inguinal hernia repair is less severe than open repair, but this does not translate into a significant improvement in QoLin this study.
RCT Entities:
PURPOSE: The incidence of chronic groin pain (CGP) and its impact on quality of life (QoL) after hernia repair are not clear with follow-up either being short or retrospective. We present 10-year prospective follow-up of a randomized trial for bilateral and recurrent hernia repair focusing on CGP and its impact on QoL. METHODS:Patients enrolled between 1997 and 2000 were contacted by telephone and asked about the presence of CGP. Those patients with CGP were sent two validated questionnaires: a SF-12v2 Health Survey and a Pain Impact Questionnaire (PIQ-6) (QualityMetric, USA). RESULTS: One hundred and twenty patients were recruited into the original study, and of these, 14 complained of CGP and were sent a PIQ-6 and a SF-12 v2 health survey. Overall, there was a higher incidence of CGP in the laparoscopic group compared with the open group (15 vs. 8 %, ns), but the severity of the pain in the laparoscopic group was less (2 vs. 3.5, p = 0.0558). QoL was significantly reduced in patients with CGP compared with the US norm. The laparoscopic group scored higher in 5 out of 8 of the QoL categories compared with the open group, but this was not significant. Overall age-adjusted scores revealed those under 65 years of age felt they had poorer physical health, and this reduced their QoL compared to normal values. CONCLUSION: CGP following laparoscopic surgery for inguinal hernia repair is less severe than open repair, but this does not translate into a significant improvement in QoLin this study.
Authors: A Eklund; C Rudberg; C-E Leijonmarck; I Rasmussen; L Spangen; G Wickbom; U Wingren; A Montgomery Journal: Surg Endosc Date: 2007-02-16 Impact factor: 3.453
Authors: Joceline V Vu; Vidhya Gunaseelan; Justin B Dimick; Michael J Englesbe; Darrell A Campbell; Dana A Telem Journal: Surg Endosc Date: 2019-02-14 Impact factor: 4.584
Authors: Samuel W Ross; Steven A Groene; Tanu Prasad; Amy E Lincourt; Kent W Kercher; Vedra A Augenstein; B Todd Heniford Journal: Surg Endosc Date: 2016-12-06 Impact factor: 4.584
Authors: Joceline V Vu; Vidhya Gunaseelan; Greta L Krapohl; Michael J Englesbe; Darrell A Campbell; Justin B Dimick; Dana A Telem Journal: Surg Endosc Date: 2018-07-09 Impact factor: 4.584
Authors: Shamir O Cawich; Sanjib K Mohanty; Kimon O Bonadie; Lindberg K Simpson; Peter B Johnson; Sundeep Shah; Eric W Williams Journal: J Surg Tech Case Rep Date: 2013-01