Chronic pain after inguinal hernia repair with the ONSTEP versus the Lichtenstein technique, results of a double-blinded multicenter randomized clinical trial

Andresen, Kristoffer; Burcharth, Jakob; Fonnes, Siv; Hupfeld, Line; Rothman, Josephine Philip; Deigaard, Søren Lykke; Winther, Dorte; Errebo, Maj Britt; Therkildsen, Rikke; Hauge, Dina; Sørensen, Fritz Søbæk; Bjerg, Jesper; Rosenberg, Jacob

doi:10.1007/s00423-016-1532-y

Cited by 29 publications

(11 citation statements)

References 19 publications

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“… 8 The Lichtenstein repair is known to cause discomfort and disabling pain in some patients. 3 , 9 The laparoscopic techniques seem to lower the risk of chronic pain but still cause chronic pain in some people. 10 …”

Section: Groin Hernia Repairs and Painmentioning

confidence: 99%

“…Around the globe, millions of groin hernia repairs are conducted annually 1 and 8%–16% of these patients experience chronic pain to a degree that impairs their daily lives 6 months postoperatively. 2 , 3 A few percent of these patients experience disabling pain, and due to the large number of groin hernia repairs, the number of patients with disabling pain and discomfort is an important clinical problem. 4 Depending on the degree of pain and the impact on daily activities, an evidence-based treatment option should be offered.…”

Section: Introductionmentioning

confidence: 99%

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Management of chronic pain after hernia repair

Andresen¹,

Rosenberg²

2018

JPR

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Chronic pain following inguinal hernia repair is a common problem and feared complication. Up to 16% of people experience chronic pain following the repair of a groin hernia. The aim of this review was to provide an overview of treatment strategies for patients with chronic pain following inguinal hernia repair based on best practice guidelines and current clinical routines. The optimal management of chronic pain following inguinal hernia surgery should begin with a thorough clinical examination to rule out other causes of chronic pain and to rule out a recurrence. A scaled approach to treatment is recommended. Initially, watchful waiting can be tried if it can be tolerated by the patient and then systemic painkillers, escalating to blocks, and surgery as the final option. Surgery should include mesh removal and triple neurectomy following anterior approaches or mesh and tack removal following a posterior approach. The diagnosis and treatment strategies should be performed by or discussed with experts in the field.

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Section: Groin Hernia Repairs and Painmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of chronic pain after hernia repair

Andresen¹,

Rosenberg²

2018

JPR

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“…The risk of infection from surgical repair of an inguinal hernia is estimated between 2% and 5% 5,6 and risk of chronic pain postoperatively ranges from 8% to 16%. 7 With an ageing population and an obesity epidemic, it has been postulated that inguinal hernias will increase over the coming years. 8,9 North America currently reports over 800 000 IHRs per annum, and is a substantial burden to healthcare services, with incidence rates as high as 217 per 100 000 being reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…While strangulation is a common rationale behind surgical repair, it occurs in only one in 400 people, 4 whereas intestinal obstruction and incarceration are more common presentations to hospital. The risk of infection from surgical repair of an inguinal hernia is estimated between 2% and 5% 5,6 and risk of chronic pain post‐operatively ranges from 8% to 16% 7 …”

Section: Introductionmentioning

confidence: 99%

Trends in Australian inguinal hernia repair rates: a 15‐year population study

Williams

Hutchinson

et al. 2020

ANZ Journal of Surgery

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Background: An inguinal hernia is one of the most common surgical pathologies, and therefore the repair of an inguinal hernia is one of the most common general surgical procedures. The aim of this study was to assess the trend in inguinal hernia repair (IHR) rates in Australia between 2000/2001 and 2014/2015 using population data from public and private hospitals. Methods: ICD-10 data cubes from the Australian Institute of Health and Welfare were analysed to determine the number of inguinal hernia repairs performed, open or laparoscopically, between 2000/2001 and 2014/2015 financial years. These data were combined with the Australian Bureau of Statistics population data estimates for the corresponding years, to give a procedure per 100 000 estimates. Results: Incidence of IHRs within Australia decreased from 217 to 194 per 100 000 population over the 15-year study period. There was a clear shift towards increased uptake of laparoscopic surgery with a subsequent fall in rates of open IHRs. Males accounted for the majority of IHR procedures. Unilateral repair was more common; however, the incidence of unilateral repair rates decreased while bilateral IHR rates increased over the study period. Conclusion: Laparoscopic techniques are increasingly being used within public and private institutions across the country for inguinal hernia repair. There has also been a decrease in the incidence of IHR procedures performed per year over the 15-year period studied, consistent with published literature from Europe and the USA. Methods Data extraction Data regarding surgical procedures performed in Australia, in both public and private hospitals, are recorded by the AIHW. Data regarding IHRs were located within each financial year's

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“…В настоящее время масштабное изучение методики проводится лишь в Дании под руководством хирургов K. Andresen и J. Rosenberg [3,[5][6][7][8][9][10] ным раз мером [9,10]. При этом авторы полагают, что по мере освоения методики число рецидивов снижается [5]. По данным K. Andresen и соавт., болевой синдром через 12 мес от момента операции по методике ONSTEP развивается у 6,1% больных, что не отличается от частоты болевого синдрома после грыжесечения по Лихтенштейну.…”

Section: Discussionunclassified

ONSTEP procedure for inguinal hernia repair

Smirnov

Панин

et al. 2018

Khir. Z. im. N.I. Pirogova

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Паховая грыжа-одно из самых распространенных хирургических заболеваний, для лечения которого используются свыше 80 вариантов оперативных вмешательств. Между тем поиск идеальной методики продолжается до сих пор. Широкое внедрение герниопластики по Лихтенштейну позволило добиться впечатляющих результатов: во многих рандомизиро-ванных исследованиях рецидив отсутствует либо его количество крайне мало-не более 3% [1]. Однако на первое место вышло качество жизни оперированных больных. Хронический болевой синдром развивался в среднем у 8-15% пациентов, а в некоторых исследованиях его частота доходила до 40% [2]. Расположение сетки возле прохождения нервных волокон-наиболее значимый фактор развития болевого синдрома.

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Chronic pain after inguinal hernia repair with the ONSTEP versus the Lichtenstein technique, results of a double-blinded multicenter randomized clinical trial

Abstract: https://clinicaltrials.gov NCT01753219.

Cited by 29 publications

References 19 publications

Management of chronic pain after hernia repair

Management of chronic pain after hernia repair

Trends in Australian inguinal hernia repair rates: a 15‐year population study

ONSTEP procedure for inguinal hernia repair

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