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Chronic pain after reoperation of an inguinal hernia with Lichtenstein or laparoscopic repair following a primary Lichtenstein repair: A nationwide questionnaire study

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BACKGROUND: The aim was to assess chronic pain after two Lichtenstein repairs for inguinal hernias (Lichtenstein-Lichtenstein) compared with Lichtenstein followed by a laparoscopic reoperation (Lichtenstein-Laparoscopy).

METHODS: In this cohort study, adults having an inguinal hernia reoperation were identified in a nationwide database. Lichtenstein-Lichtenstein was matched 1:3 with Lichtenstein-Laparoscopy and sent validated pain questionnaires. The primary outcome was difference in proportion of patients with chronic pain-related functional impairment. Secondary outcomes were differences in chronic pain prevalence and severity.

RESULTS: In total, 196 patients having Lichtenstein-Lichtenstein and 777 patients having Lichtenstein-Laparoscopy were included. There was no difference in the primary outcome, 26% with pain in Lichtenstein-Lichtenstein versus 19% in Lichtenstein-Laparoscopy (p = 0.051). However, a few of the secondary outcomes favored Lichtenstein-Laparoscopy.

CONCLUSIONS: A high proportion of patients in both groups had pain several years after the second repair. None of the analyses favored Lichtenstein-Lichtenstein, but a few of the secondary outcomes favored Lichtenstein-Laparoscopy.

Original languageEnglish
JournalAmerican Journal of Surgery
Volume219
Issue number4
Pages (from-to)701-706
Number of pages6
ISSN0002-9610
DOIs
Publication statusPublished - Apr 2020

    Research areas

  • Aged, Chronic Pain/etiology, Cohort Studies, Female, Hernia, Inguinal/surgery, Herniorrhaphy/adverse effects, Humans, Laparoscopy/adverse effects, Male, Postoperative Complications, Prevalence, Reoperation, Surveys and Questionnaires, Visual Analog Scale

ID: 60987136