Long-term outcome after randomizing prolene hernia system, mesh plug repair and lichtenstein for inguinal hernia repair

Nienhuijs, Simon W.; Rosman, Camiel

doi:10.1007/s10029-014-1295-8

Cited by 36 publications

(29 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, among these studies, 33 different validated instruments were identified (tables 4, 5, 6) [11,13,14,17,19,21,26,28,29,32,36,38,41,43,45,47,48,51,53,56,57,58,59,60,61,62,63,64,65,79,90]. …”

Section: Resultsmentioning

confidence: 99%

“…In the other 49 studies (61%), a total of 22 different definitions of CPIP were identified. Almost half (n = 23) of these studies applied the definition provided by the IASP, which is ‘chronic pain is pain that persists beyond three months post-operatively' [39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62]. The remaining half (n = 26) used multiple definitions of CPIP, which can be categorized and summarized as follows.…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-two studies (40%) had a validated assessment of both PI and QOL [11,14,19,20,22,24,29,31,34,38,40,41,43,45,48,53,54,56,58,60,62,65,67,73,74,76,84,86,87,88,89,90]; in 33 (41%) and 3 (4%) of the studies, respectively, there was only a validated assessment of PI [8,10,13,17,21,23,25,26,28,30,33,35,36,42,44,47,49,50,52,59,61,63,69,71,77,78,80,81,82,83,85] or QOL [46,51,57]. …”

Section: Resultsmentioning

confidence: 99%

“…In half of the studies, the categorization consisted of reporting the effect of CPIP on daily life using 9 different validated or nonvalidated criteria (table 3) [33,40,48,52,58,61,62,68,73,79,86]. The remaining studies used a categorization of pain severity based on VAS or numerical analog scale measurements [8,10,19,22,23,50,56,71,73,81,87,88,89].…”

Section: Resultsmentioning

confidence: 99%

“…In this review, 4 hernia-specific QOL measures were identified among 8 studies: the Carolinas Comfort Scale (CCS) [76], the IPQ [48], the Activities Assessment Scale [53], and a questionnaire based on the Danish Hernia Database [99]. Some studies used rating scales such as the VAS to measure QOL [62]. There are also questionnaires available that incorporate the assessment of PI (sensory dimension) and the degree of interference of chronic pain with aspects of daily life (reactive dimension).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

View full text Add to dashboard Cite

Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

View full text Add to dashboard Cite

show abstract

Long-term results from a randomized comparison of open transinguinal preperitoneal hernia repair and the Lichtenstein method (TULIP trial)

Bökkerink

Koning

Malagic

et al. 2019

British Journal of Surgery

View full text Add to dashboard Cite

Background The short‐term results of the TULIP trial comparing transinguinal preperitoneal (TIPP) inguinal hernia repair with the Lichtenstein method have been reported with follow‐up of 1 year. After TIPP repair, fewer patients had chronic postoperative inguinal pain (CPIP); they had better health status and lower costs. The present study reports the long‐term outcomes of this trial. Methods All surviving patients initially randomized in the TULIP trial were contacted. Patients were interviewed by telephone and sent a questionnaire. Those reporting any complaints were invited for outpatient review. Chronic pain, hernia recurrence and reoperation were documented, along with any sensory change or disturbance of sexual activity. Results Of 302 patients initially randomized, 251 (83·1 per cent) were included in the analysis (119 TIPP, 132 Lichtenstein), with a median follow‐up of 85 (range 74–117) months. Of 25 patients with chronic postoperative inguinal pain after 1 year, only one, who underwent Lichtenstein repair, still had groin pain at long‐term follow‐up. The overall hernia recurrence rate was 2·8 per cent (7 patients), with no difference between the groups. Conclusion Both TIPP and Lichtenstein hernia repairs are durable. Patients with chronic postoperative inguinal pain after 1 year can be reassured that the groin pain tends to fade over time.

show abstract

Postoperative outcomes using Lichtenstein open hernioplasty versus Nyhus preperitoneal hernioplasty in inguinal hernia: A comparative analysis with 1‐year follow‐up

Vargas

Mendoza‐Zuchini

Pedraza

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and Aim: Inguinal hernia is the most common defect of the abdominal wall in 75% and their treatment consists of surgical repair. The technique of choice is laparoscopic because of its overall benefits. However, when this is not available, open approaches may be a viable option. Currently, the most commonly used open techniques are Lichtenstein and Nyhus. However, there are few medium-or longterm studies that have compared outcomes between these two techniques.Methods: This is a retrospective comparative study that included patients undergoing open inguinal hernia correction with mesh, using Lichtenstein open hernioplasty versus Nyhus preperitoneal hernioplasty, in two tertiary referral centers in Bogota, Colombia, during a period of 2 years. A bivariate analysis was performed to compare groups, according to the complications presented between the two techniques.Results: A total of 193 patients were included, of whom 53.36% were men and 112 (58.03%) were approached with the Nyhus technique versus 81 patients with the Lichtenstein technique. Nonabsorbable suture fixation was performed in 100% of patients. Among the main complications, seroma (5.18%), pain (4.14%), bleeding (2.07%), recurrence (10.88%), and reoperation (0.51%) were observed, of which only recurrence showed a statistically significant difference, which is lower in the Nyhus approach (3.57% vs. 20.67%; p < 0.001). No patients died.Conclusions: Both Nyhus and Lichtenstein hernioplasty techniques were shown to cause a low incidence of postoperative complications, with significantly lower recurrence using the Nyhus technique up to 1 year postoperatively.

show abstract

Long-term outcome after randomizing prolene hernia system, mesh plug repair and lichtenstein for inguinal hernia repair

Abstract: Long-term outcome after randomizing PHS, MPR and L showed no clinically relevant differences in chronic pain and its consequences. Although chronic pain is diminishing over time it remains a serious complication and has sometimes an onset long after the inguinal repair.

Cited by 36 publications

References 15 publications

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

Long-term results from a randomized comparison of open transinguinal preperitoneal hernia repair and the Lichtenstein method (TULIP trial)

Postoperative outcomes using Lichtenstein open hernioplasty versus Nyhus preperitoneal hernioplasty in inguinal hernia: A comparative analysis with 1‐year follow‐up

Contact Info

Product

Resources

About