Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP

Köninger, Jörg; Redecke, Jens; Butters, M.

doi:10.1007/s00423-004-0496-5

Cited by 142 publications

(100 citation statements)

References 41 publications

(37 reference statements)

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“…[1][2][3][4][5][6] Laparoscopic repair of inguinal hernia has certain advantages over open repair, such as reduced postoperative pain and morbidity, early recovery, rapid return to work, and better quality of life. [3][4][5][6][7] Several strategies have been reported to ameliorate postoperative pain in laparoscopic surgery. 8 The transversus abdominis plane (TAP) block is a regional anesthetic technique that provides analgesia to the parietal peritoneum as well as to the skin and muscles of the anterior abdominal wall.…”

mentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Takebayashi

Matsumura

Kawai

et al. 2015

International Surgery

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We aimed to assess the efficacy of transversus abdominis plane (TAP) block and rectus sheath (RS) block in patients undergoing laparoscopic inguinal hernia surgery. Few studies have addressed the efficacy and safety associated with TAP block and RS block for laparoscopic surgery. Thirty-two patients underwent laparoscopic inguinal hernia surgery, either with TAP and RS block (Block þ group, n ¼ 18) or without peripheral nerve block (Block À group, n ¼ 14). Preoperatively, TAP and RS block were performed through ultrasound guidance. We evaluated postoperative pain control and patient outcomes. The mean postoperative hospital stays were 1.56 days (Blockþ group) and 2.07 days (Block À group; range, 1-3 days in both groups; P ¼ 0.0038). A total of 11 patients and 1 patient underwent day surgery in the Block þ and Block À groups, respectively (P ¼ 0.0012). Good postoperative pain control was more commonly observed in the Block þ group than in the Block À group (P ¼ 0.011). TAP and RS block was effective in reducing postoperative pain and was associated with a fast recovery in patients undergoing laparoscopic inguinal hernia surgery.

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mentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Takebayashi

Matsumura

Kawai

et al. 2015

International Surgery

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“…Other stated the frequency of chronic pain after inguinal hernia repair to be as high as 54% [12]. To explain this discrepancy, we found that the observational methods for pain evaluation vary, prospective studies are few and chronic pain is not a primary outcome parameter in most studies [11] and [13].…”

Section: Discussionmentioning

confidence: 61%

Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty

Mohamady¹

2015

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Abstract:Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery-related factors.Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical practice for reducing pain and other symptoms following musculoskeletal injury. This current study was designed to detect the therapeutic efficacy of Interferential Therapy as a method of treatment to reduce chronic post operative pain after inguinal hernia repair. Subjects and Methods: A total of 40 adult male patients were operated upon as inguinal hernioplasty with synthetic mesh repair and their ages were ranged from 30-50 years. Patients were randomly assigned into two equal groups; Group A (Interferential Therapy group) and Group B (Control group). Patients of group A underwent inguinal hernioplasty with synthetic mesh and received the application of interferential therapy over the operative skin incisions in addition they received the routine postoperative analgesia. Regarding the postoperative pain, the assessment approaches were subdivided into 3 main procedures: Visual Analog Scale, prosthesis awareness and physical activity. Results: Total pain score was the sum VAS, prosthesis awareness and physical activity scores. We observed that statistical analysis of total pain scores and the final scores per patient in both groups of this study were statistically significant. Conclusion: Interferential current as a supplement to traditional analgesia in the early postoperative course in hernia repair with mesh seems to be more effective for reducing pain than traditional postoperative analgesia alone. Interferential current therapy is a noninvasive therapy for relief from chronic postsurgical pain. It provides a safe, with minimal side effects and effective alternative to pharmacological approaches to pain control.

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“…21 Another well conducted, large, randomized controlled multicenter trial found 10% incidence of chronic pain after laparoscopy and 14% after open surgery in 1983 patients (P <0.05). 22 Another post-operative problem after hernia repair is numbness or hypothesia at the groin. This may be due to injury to cutenous nerve supply.…”

Section: Discussionmentioning

confidence: 99%

Early and late outcomes of trans-abdominal pre-peritoneal and Lichtenstein repair for inguinal hernia, a comparative study

Latif Bahram

2017

Int Surg J

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Background: Surgical repair of inguinal hernia remains a common operation in general surgery. No consensus has been achieved on the best surgical technique of inguinal herniorrhaphy. Open repair has lower recurrence and complication rates. Laparoscopic approach has less postoperative pain, reduced recovery time, earlier return to activity and fewer wound complications but expose the patient to potential complications, mainly possibility of visceral injury. The aim was to compare early and late outcomes after TAPP and lichtenstein repair.Methods: Three hundreds patients with inguinal hernia were enrolled in this study, divided into two equal groups: Group I managed by trans-abdominal pre-peritoneal laparoscopic repair (TAPP) and Group II managed by open lichtenstein repair (LR).Results: The operative time was significantly lower in TAPP than LR (50±18.98 min and 75±24.54 min respectively). TAPP has a significant advantage to diagnose and repair contra-lateral inguinal hernia (11.5%) and to repair concomitant umbilical hernia (7.3%). No significant difference between both groups regarding intra-operative visceral injury, ileus, hospital stay or wound complications. TAPP significantly decreased post-operative pain and groin hypothesia, shorten the duration needed to return to activities (7±3 days and 16±5 days respectively). There was no significant difference between both groups regarding the recurrence (4.2% and 2% respectively).Conclusions: TAPP technique is an excellent approach for treatment of inguinal hernia in comparison to LR either unilateral or bilateral, primary or recurrent inguinal hernia with low morbidity and recurrence comparable to that of LR with advantages of less post-operative pain and early return to activities.

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Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP

Cited by 142 publications

References 41 publications

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Efficacy of Transversus Abdominis Plane Block and Rectus Sheath Block in Laparoscopic Inguinal Hernia Surgery

Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty

Early and late outcomes of trans-abdominal pre-peritoneal and Lichtenstein repair for inguinal hernia, a comparative study

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