Risk Factors for Long-term Pain After Hernia Surgery
- 1 August 2006
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 244 (2), 212-219
- https://doi.org/10.1097/01.sla.0000218081.53940.01
Abstract
Objective: To estimate the prevalence of residual pain 2 to 3 years after hernia surgery, to identify factors associated with its occurrence, and to assess the consequences for the patient. Summary Background Data: Iatrogenic chronic pain is a neglected problem that may totally annul the benefits from hernia repair. Methods: From the population-based Swedish Hernia Register 3000 patients aged 15 to 85 years were sampled from the 9280 patients registered as having undergone a primary groin hernia operation in the year 2000. Of these, the 2853 patients still alive in 2003 were requested to fill in a postal questionnaire. Results: After 2 reminders, 2456 patients (86%), 2299 men and 157 women responded. In response to a question about “worst perceived pain last week,” 758 patients (31%) reported pain to some extent. In 144 cases (6%), the pain interfered with daily activities. Age below median, a high level of pain before the operation, and occurrence of any postoperative complication were found to significantly and independently predict long-term pain in multivariate logistic analysis when “worst pain last week” was used as outcome variable. The same variables, along with a repair technique using anterior approach, were found to predict long-term pain with “pain right now” as outcome variable. Conclusion: Pain that is at least partly disabling appears to occur more often than recurrences. The prevalence of long-term pain can be reduced by preventing postoperative complications. The impact of repair technique on the risk of long-term pain shown in our study should be further assessed in randomized controlled trials.Keywords
This publication has 17 references indexed in Scilit:
- Five-year follow-up of a randomized trial to assess pain and numbness after laparoscopic or open repair of groin herniaBritish Journal of Surgery, 2004
- Open Mesh versus Laparoscopic Mesh Repair of Inguinal HerniaThe New England Journal of Medicine, 2004
- Randomized clinical trial of lightweight composite mesh for Lichtenstein inguinal hernia repairBritish Journal of Surgery, 2003
- Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow upBMJ, 2003
- Laparoscopic techniques versus open techniques for inguinal hernia repairEmergencias, 2003
- Chronic postherniorrhaphy pain – a call for uniform assessmentHernia, 2002
- Outcome of patients with severe chronic pain following repair of groin herniaBritish Journal of Surgery, 2002
- Chronic pain and quality of life following open inguinal hernia repairBritish Journal of Surgery, 2001
- Pain and Functional Impairment 1 Year After Inguinal Herniorrhaphy: A Nationwide Questionnaire StudyAnnals of Surgery, 2001
- Continuous self-recording of epigastric pain with two rating scales: Compliance, authenticity, reliability, and sensitivityJournal of Psychopathology and Behavioral Assessment, 1983