Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study)

Matikainen, M; Aro, E.; Vironen, Jaana; Kössi, Jyrki; Hulmi, T.; Silvasti, S.; Ilves, Imre; Hertsi, M.; Mustonen, Kirsi; Paajanen, Hannu

doi:10.1007/s10029-018-1772-6

Cited by 16 publications

(14 citation statements)

References 38 publications

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“…In earlier analyses [5,8,12,14,17], the difference between glue fixation and self-gripping mesh seems to be indistinct. A meta-analysis [12] including 5190 patients comparing self-gripping mesh and mesh fixation using glue with sutured mesh demonstrated no difference in chronic pain, but short-term postoperative pain favoured a nonsutured technique.…”

Section: Discussionmentioning

confidence: 93%

“…Today, the most frequent problem after hernia repair is chronic inguinal pain [1,8,9]. The pain incidence varies in the literature and approximately 10-21% of operated patients suffer from chronic pain [8][9][10], usually decreasing with time after implantation.…”

Section: Introductionmentioning

confidence: 99%

“…The pain incidence varies in the literature and approximately 10-21% of operated patients suffer from chronic pain [8][9][10], usually decreasing with time after implantation. The cause of chronic pain is uncertain, but various risk factors have been noted in earlier studies, such as open procedure compared to laparoscopic surgery, female patients, patients of younger age, preoperative pain, and severe early postoperative pain [7][8][9][10][11]. Lightweighted mesh is associated with less pain [10] and surgery for recurrent hernia increases the risk of chronic pain [8,11].…”

Section: Introductionmentioning

confidence: 99%

“…The cause of chronic pain is uncertain, but various risk factors have been noted in earlier studies, such as open procedure compared to laparoscopic surgery, female patients, patients of younger age, preoperative pain, and severe early postoperative pain [7][8][9][10][11]. Lightweighted mesh is associated with less pain [10] and surgery for recurrent hernia increases the risk of chronic pain [8,11]. There seems to be no difference between mesh fixation technique and chronic pain, according to two quite recent meta-analyses [6,12], where self-gripping mesh, adhesional fixation and sutured mesh had equal rates of chronic pain.…”

Section: Introductionmentioning

confidence: 99%

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Postoperative pain and pain-related health-care contacts after open inguinal hernia repair with Adhesix™ and Progrip™: a randomized controlled trial

Thölix

Kössi

Harju

2022

Hernia

Self Cite

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Purpose Self-fixed mesh is an alternative to suture mesh fixation in inguinal hernia repair. The aim of this study was to evaluate postoperative pain after open inguinal hernia surgery using self-fixed meshes. Methods A randomized clinical trial comparing self-adhesive mesh (Adhesix™) and self-gripping mesh (Progrip™) was conducted from November 2018 through March 2021. Patients included were male, 18–85 years old, and suitable for day case surgery. The primary endpoint was the number of patients needing follow-up visits due to postoperative pain during the first 3 postoperative months. Secondary endpoints included the intensity of pain, the time of return to work and normal daily activities, quality of life measures and postoperative complications. Results 270 patients were enrolled, 132 received Adhesix™ mesh (A group) and 138 Progrip™ mesh (P group), 231 (85.6%) completed 1- or 3-month follow-up. The number of patients needing follow-up for postoperative pain was significantly higher in the P group (19 vs. 4, p = 0.001). The P group had higher numeric rating scale of pain while coughing (P 0.50 vs. A 0.20, p = 0.024) and during exercise (P 1.02 vs. A 0.60, p = 0.057) at 3 months postoperatively. The time of return to normal activity was 16.6 days in the A group and 22.9 days in the P group, (p = 0.004). The postoperative day being fit for work was sooner for the A group (14.3 days vs 17.8 days, p = 0.009). Conclusion This study demonstrated an advantage of self-adhesive mesh over self-gripping mesh with respect to acute postoperative pain and thus faster recovery after surgery.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postoperative pain and pain-related health-care contacts after open inguinal hernia repair with Adhesix™ and Progrip™: a randomized controlled trial

Thölix

Kössi

Harju

2022

Hernia

Self Cite

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“…The VAS scoring system is a good evaluation method for chronic pain after hernia surgery. In recent years, some studies have evaluated the postoperative effect of hernia using this evaluation system 24,25 .…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

Liu

Zheng

et al. 2020

Sci Rep

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to compare the outcomes of open preperitoneal repair (opR) with the use of mesh and open suture repair (oSR) without mesh via inguinal approach for the treatment of emergency femoral hernia (fH). the primary outcome was the postoperative complication and the secondary outcomes were the recurrence rate of FH and the postoperative comfort level at the surgical site. 104 patients with emergency FHs were included, of whom 51 patients were treated with OPR, 53 patients were treated with OSR. Between the two groups, no significant difference was found in surgical site infection (SSI) (p = 0.801) or seroma (P = 0.843), while there was significant difference in the improvement of comfort at the surgical site (p = 0.013). The results of the 2-year follow-up demonstrated 1 and 8 cases of recurrence in the OPR and OSR group respectively, which was statistically significant (HR, 8.193 [95% CI, 1.024 to 65.547], P = 0.047). Compared with OSR, OPR with the use of mesh did not increase the risk of SSi and was safe to apply even under the condition of an emergency fH operation with intestine resection; opR could reduce the recurrence rate of fH and improve the comfort at the surgical site.The incidence of femoral hernia is not high, accounting for approximately 2-4% of all groin hernias 1,2 , but it is extremely easy for femoral hernias (FHs) to incarcerate and/or strangulate 3,4 , and patients need emergency surgery after incarceration and/or strangulation 5,6 . The surgical methods include tissue suture repair and tension-free repair with different kinds of meshes. Clinical guidelines do not strongly recommend tension-free repair with mesh because this approach may cause surgical site infection (SSI), especially in patients who undergo intestinal resection 7,8 . At present, with the improvement of mesh materials, there have been continuous reports of the safe use of mesh in the repair of incarcerated and/or strangulated groin hernias or even in the condition of intestinal resection without the occurrence of serious complications such as mesh-related infection 9-11 .However, cohort studies comparing open mesh tension-free repair and open suture repair for emergency femoral hernias via the inguinal approach have rarely been reported. The purpose of this study was to evaluate the feasibility of open preperitoneal repair (OPR) for emergency FHs using UHS meshes by comparing the outcomes with those of open suture repair (OSR) for the treatment of emergency FHs. patients and Methods ethics statement. This retrospective cohort study was approved by the Medical Ethics Committee of Ganzhou People's Hospital, and the methods were carried out in accordance with the approved guidelines.patients. By referencing the medical records, consecutive patients with a primary diagnosis of FH treated between 2011 and 2017 were identified. Patients who underwent emergency FH repair via OPR with the use of UHS mesh or OSR without the use of mesh were selected and divided into two groups (the OPR group and OSR group) according to the repair method.

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The Vision of Digital Surgery

Fuerst¹,

Fer

Herrmann³

et al. 2020

Digital Surgery

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Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study)

Abstract: Only the presence of recurrent hernia and early severe pain after index operation seemed to predict longstanding inguinal pain.

Cited by 16 publications

References 38 publications

Postoperative pain and pain-related health-care contacts after open inguinal hernia repair with Adhesix™ and Progrip™: a randomized controlled trial

Postoperative pain and pain-related health-care contacts after open inguinal hernia repair with Adhesix™ and Progrip™: a randomized controlled trial

A retrospective cohort study of open preperitoneal repair versus open suture repair for the treatment of emergency femoral hernia

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