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Chronic pain after open inguinal hernia repair: a longitudinal self-assessment study
Linköping University, Department of Clinical and Experimental Medicine, Surgery . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
Linköping University, Department of Clinical and Experimental Medicine, Surgery . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
2010 (English)In: HERNIA, ISSN 1265-4906, Vol. 14, no 3, 249-252 p.Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to assess the variation of self-reported pain over a period of 2 years in three groups of patients with no, moderate and severe pain at 3 months after primary open inguinal hernia repair. In two cohorts of patients from 2004 (n = 272) and 2005 (n = 292) who had given a self-report of postoperative pain at 3 months, 79 randomly selected patients without pain (box visual analogue scale [VAS] level 10) and all patients with moderate (Box VAS level 7-9) and severe pain (Box VAS level 1-6), 91 and 9, respectively, were included in the case series. The self-assessments were repeated for all patients 1-1.5 and 2-2.5 years after surgery (November 2006). It was observed that moderate pain reappeared among the pain-free patients in 28 and 23% after 1-1.5 and 2-2.5 years, respectively. Of those patients with moderate pain at 3 months, 39 and 49% reported no pain at 1-1.5 and 2-2.5 years, respectively, after surgery. A worsening from moderate pain to severe pain was reported by 22% of patients after 1-1.5 years and by 15% of patients after 2-2.5 years. Hernia recurrence (n = 3) was observed only in patients with increased pain. All nine patients with severe pain at 3 months reported less pain, but only one was pain-free at 2-2.5 years after surgery. The study shows that a significant proportion of the patients developed pain later than 3 months after the operation. It further points to a difference in pain evolvement in patients with moderate pain and those with severe postoperative pain at 3 months. Pain can increase in intensity from moderate to severe, both with and without the presence of a clinical recurrence.

Place, publisher, year, edition, pages
Springer Science Business Media , 2010. Vol. 14, no 3, 249-252 p.
Keyword [en]
Inguinal hernia, Surgery, Postoperative pain, Open herniorraphy
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-57172DOI: 10.1007/s10029-009-0615-xISI: 000278153700004OAI: oai:DiVA.org:liu-57172DiVA: diva2:323543
Available from: 2010-06-11 Created: 2010-06-11 Last updated: 2010-06-11

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Smeds, StaffanKald, Anders

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Surgery Faculty of Health SciencesDepartment of Surgery in ÖstergötlandDepartment of Thoracic and Vascular Surgery
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