B Romain1,2, T Fabacher3, P Ortega-Deballon4, L Montana5, J-P Cossa6, J-F Gillion7. 1. Service de Chirurgie Générale Et Digestive, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, Avenue Molière, 67098, Strasbourg Cedex, France. benoit.romain@chru-strasbourg.fr. 2. Department of Digestive Surgery, Strasbourg University, 1 Avenue Moliere, 67000, Strasbourg, France. benoit.romain@chru-strasbourg.fr. 3. Groupe Méthodes en Recherche Clinique, CHRU, 67091, Strasbourg Cedex, France. 4. Service de Chirurgie Digestive, Centre Hospitalier Universitaire Dijon-Bourgogne, 14 Rue Paul Gaffarel, 21000, Dijon, France. 5. Service de Chirurgie Générale Et Digestive, Hôpital de La Croix Saint Simon, 125 Rue d'Avron, 75020, Paris, France. 6. Clinique Bizet, Paris, France. 7. Hôpital Privé D'Antony, Antony, France.
Abstract
PURPOSE: To assess the rate of late chronic postoperative inguinal pain (CPIP) after groin hernia repair in patients with different categories of preoperative VRS (Verbal Rating Scale) pain and to make a pragmatic evaluation of the rates of potentially surgery-related CPIP vs. postoperative continuation of preexisting preoperative pain. METHODS: Groin pain of patients operated from 01/11/2011 to 01/04/2014 was assessed preoperatively, postoperatively and at 2-year follow-up using a VRS-4 in 5670 consecutive groin hernia repairs. A PROM (Patient Related Outcomes Measurement) questionnaire studied the impact of CPIP on the patients' daily life. RESULTS: Relevant (moderate or severe VRS) pain was registered preoperatively in 1639 of 5670 (29%) cases vs. 197 of 4704 (4.2%) cases at the 2-year follow-up. Among the latter, 125 (3.7%) cases were found in 3353 cases with no-relevant preoperative pain and 72 (5.3%) in 1351 cases with relevant preoperative pain. Relevant CPIP consisted of 179 (3.8%) cases of moderate pain and 18 (0.4%) cases of severe pain. The rate of severe CPIP was independent of the preoperative VRS-pain category while the rate of moderate CPIP (3.1%, 3.4%, 4.1%, 6.8%) increased in line with the preoperative (none, mild, moderate, and severe) VRS-pain categories. The VRS probably overestimated pain since 71.6% of the relevant CPIP patients assessed their pain as less bothersome than the hernia. CONCLUSION: At the 2-year follow-up, relevant CPIP was registered in 4.2% cases, of which 63.5% were potentially surgery-related (no-relevant preoperative pain) and 36.5% possibly due to the postoperative persistence of preoperative pain. The rate of severe CPIP was constant around 0.4%.
PURPOSE: To assess the rate of late chronic postoperative inguinal pain (CPIP) after groin hernia repair in patients with different categories of preoperative VRS (Verbal Rating Scale) pain and to make a pragmatic evaluation of the rates of potentially surgery-related CPIP vs. postoperative continuation of preexisting preoperative pain. METHODS: Groin pain of patients operated from 01/11/2011 to 01/04/2014 was assessed preoperatively, postoperatively and at 2-year follow-up using a VRS-4 in 5670 consecutive groin hernia repairs. A PROM (Patient Related Outcomes Measurement) questionnaire studied the impact of CPIP on the patients' daily life. RESULTS: Relevant (moderate or severe VRS) pain was registered preoperatively in 1639 of 5670 (29%) cases vs. 197 of 4704 (4.2%) cases at the 2-year follow-up. Among the latter, 125 (3.7%) cases were found in 3353 cases with no-relevant preoperative pain and 72 (5.3%) in 1351 cases with relevant preoperative pain. Relevant CPIP consisted of 179 (3.8%) cases of moderate pain and 18 (0.4%) cases of severe pain. The rate of severe CPIP was independent of the preoperative VRS-pain category while the rate of moderate CPIP (3.1%, 3.4%, 4.1%, 6.8%) increased in line with the preoperative (none, mild, moderate, and severe) VRS-pain categories. The VRS probably overestimated pain since 71.6% of the relevant CPIP patients assessed their pain as less bothersome than the hernia. CONCLUSION: At the 2-year follow-up, relevant CPIP was registered in 4.2% cases, of which 63.5% were potentially surgery-related (no-relevant preoperative pain) and 36.5% possibly due to the postoperative persistence of preoperative pain. The rate of severe CPIP was constant around 0.4%.
Authors: S Alfieri; P K Amid; G Campanelli; G Izard; H Kehlet; A R Wijsmuller; D Di Miceli; G B Doglietto Journal: Hernia Date: 2011-03-02 Impact factor: 4.739
Authors: J J Posthuma; R Sandkuyl; D A Sloothaak; A Ottenhof; J D W van der Bilt; J A H Gooszen; P C M Verbeek; K H In't Hof Journal: Hernia Date: 2022-08-04 Impact factor: 2.920
Authors: Ivan David Lozada-Martinez; Jaime Enrique Covaleda-Vargas; Yuri Alexandra Gallo-Tafur; David Andrés Mejía-Osorio; Andrés Mauricio González-Pinilla; Mayra Alejandra Florez-Fajardo; Fabian Enrique Benavides-Trucco; Julio Cesar Santodomingo-Rojas; Nancy Karol Julieth Bueno-Prato; Alexis Rafael Narvaez-Rojas Journal: Ann Med Surg (Lond) Date: 2022-06-05