Clinical characteristics and risk factors of chronic pain after laparoscopic inguinal hernia repair_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YAN Huidi , ZHOU Lixin , WANG Maolin , LIN Peiyi , SU Jiqin

Department of General Surgery and Hepatobiliary Surgery, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, Fujian 361021, P. R. China;

Corresponding author：

YAN Huidi, Email: yhd351252@163.com

Keywords：

chronic pain; inguinal hernia; transperitoneal preperitoneal hernia repair; totally extraperitoneal hernia repair; laparoscopy

DOI：

10.7507/1007-9424.201810040

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical characteristics and risk factors of chronic pain after laparoscopic inguinal hernia repair.Methods The clinical data of 142 cases underwent laparoscopic inguinal hernia repair from January 2013 to December 2017 in The Second Affiliated Hospital of Xiamen Medical College were retrospectively analyzed.Results The incidence of chronic pain after laparoscopic inguinal hernia repair was 12.7% (18/142), and 83.3% (15/18) of the patients were located in the inguinal region. Univariate analysis showed that postoperative chronic pain rates were higher in patients receiving standard patch, large patch, mechanical fixation patch, and with postoperative complications (P<0.05). Multivariate analysis showed that large patch [OR=1.82, 95% CI was (1.18, 5.36), P=0.023], mechanical fixation patch [OR=1.44, 95% CI was (1.07, 3.62), P=0.039], and postoperative complications [OR=2.53, 95% CI was (1.27, 7.31), P=0.011] were independent risk factors for postoperative chronic pain after laparoscopic inguinal hernia repair.Conclusion The occurrence of chronic pain after laparoscopic inguinal hernia repair is the result of many factors, especially the complications and patch factors.

Citation： YAN Huidi, ZHOU Lixin, WANG Maolin, LIN Peiyi, SU Jiqin. Clinical characteristics and risk factors of chronic pain after laparoscopic inguinal hernia repair. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(2): 180-184. doi: 10.7507/1007-9424.201810040 Copy

1.	严辉弟, 肖春林, 王茂林, 等. 腹腔镜完全腹膜外免钉合腹股沟疝修补术 45 例. 中国微创外科杂志, 2010, 10(10): 942-944.
2.	王平, 黄永刚. 腹股沟疝术后慢性疼痛处理流程国际共识解读. 中华疝和腹壁外科杂志: 电子版, 2018, 12(1): 6-9.
3.	Lange JF, Kaufmann R, Wijsmuller AR, et al. An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia, 2015, 19(1): 33-43.
4.	赵渝, 王刚. 腹股沟疝修补术后慢性疼痛的原因及治疗. 中国实用外科杂志, 2006, 26(11): 826-828.
5.	Takata H, Matsutani T, Hagiwara N, et al. Assessment of the incidence of chronic pain and discomfort after primary inguinal hernia repair. J Surg Res, 2016, 206(2): 391-397.
6.	Staerkle RF, Vuille-Dit-Bille RN, Fink L, et al. Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score. Langenbecks Arch Surg, 2017, 402(6): 935-947.
7.	杨华, 王俊伟, 彭雪峰, 等. 腹腔镜和开放式无张力疝修补术对患者术后早期疼痛的影响. 中国普外基础与临床杂志, 2016, 23(11): 1384-1388.
8.	陈士德, 李向国, 汪晓峰, 等. 自固定补片在腹腔镜完全腹膜外腹股沟疝修补术中的临床应用. 中国普外基础与临床杂志, 2016, 23(3): 315-318.
9.	Nguyen DK, Amid PK, Chen DC. Groin pain after inguinal hernia repair. Adv Surg, 2016, 50(1): 203-220.
10.	何文, 黄耿文, 阳建怡. 腹腔镜下腹股沟疝修补术后急慢性疼痛的影响因素. 中华疝和腹壁外科杂志: 电子版, 2016, 10(5): 329-332.
11.	黄永刚, 顾卯林, 郭吕, 等. 非编织聚丙烯补片免固定 TAPP 治疗腹股沟疝的临床应用(附 60 例报道). 中国普外基础与临床杂志, 2015, 22(1): 109-110.
12.	陈思梦, 刘力嘉. 腹股沟疝术后感染及慢性疼痛临床处理. 中国实用外科杂志, 2014, 35(5): 398-400.
13.	Burgmans JP, Voorbrood CE, Van Dalen T, et al. Chronic pain after TEP inguinal hernia repair, does MRI reveal a cause? Hernia, 2016, 20(1): 55-62.
14.	Schopf S, von Ahnen T, von Ahnen M, et al. Chronic pain after laparoscopic transabdominal preperitoneal hernia repair: a randomized comparison of light and extralight titanized polypropylene mesh. World J Surg, 2011, 35(2): 302-310.
15.	Li W, Sun D, Sun Y, et al. The effect of transabdominal preperitoneal (TAPP) inguinal hernioplasty on chronic pain and quality of life of patients: mesh fixation versus non-fixation. Surg Endosc, 2017, 31(10): 4238-4243.
16.	Pommergaard HC, Burcharth J, Andresen K, et al. No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation. Surg Endosc, 2017, 31(2): 661-666.
17.	朱松, 侯克柱, 刘伟, 等. 腹腔镜经腹腹膜前疝修补术使用免钉合 3D 补片治疗老年腹股沟疝的体会. 腹腔镜外科杂志, 2016, 21(2): 102-104.
18.	党晨珀, 江道振, 刘晟, 等. 比较经腹腹膜前腹股沟疝修补术中应用 3D 免钉合补片与普通平片的临床随机对照试验. 腹腔镜外科杂志, 2015, 20(7): 543-546.
19.	曹景新. 免钉合补片腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝应用观察. 中国普通外科杂志, 2012, 21(7): 908-910.
20.	Sun P, Cheng X, Deng S, et al. Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty. Cochrane Database Syst Rev, 2017, 2: CD010814.
21.	孟令勤, 杨福全. 腹股沟疝无张力修补术后慢性疼痛治疗研究. 中国实用外科杂志, 2014, 34(5): 419-421.
22.	Niebuhr H, Wegner F, Hukauf M, et al. What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20, 004 patients from the Herniamed Registry. Surg Endosc, 2018, 32(4): 1971-1983.
23.	Andresen K, Rosenberg J. Management of chronic pain after hernia repair. J Pain Res, 2018, 11: 675-681.
24.	刘斌, 陈金辉. Lichtenstein无张力疝修补术中腹股沟区神经处理的体会. 中国普外基础与临床杂志, 2012, 19(3): 314-318.
25.	Chatzimavroudis G, Kalaitzis S, Voloudakis N, et al. Evaluation of four mesh fixation methods in an experimental model of ventral hernia repair. J Surg Res, 2017, 212: 253-259.

1. 严辉弟, 肖春林, 王茂林, 等. 腹腔镜完全腹膜外免钉合腹股沟疝修补术 45 例. 中国微创外科杂志, 2010, 10(10): 942-944.
2. 王平, 黄永刚. 腹股沟疝术后慢性疼痛处理流程国际共识解读. 中华疝和腹壁外科杂志: 电子版, 2018, 12(1): 6-9.
3. Lange JF, Kaufmann R, Wijsmuller AR, et al. An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia, 2015, 19(1): 33-43.
4. 赵渝, 王刚. 腹股沟疝修补术后慢性疼痛的原因及治疗. 中国实用外科杂志, 2006, 26(11): 826-828.
5. Takata H, Matsutani T, Hagiwara N, et al. Assessment of the incidence of chronic pain and discomfort after primary inguinal hernia repair. J Surg Res, 2016, 206(2): 391-397.
6. Staerkle RF, Vuille-Dit-Bille RN, Fink L, et al. Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score. Langenbecks Arch Surg, 2017, 402(6): 935-947.
7. 杨华, 王俊伟, 彭雪峰, 等. 腹腔镜和开放式无张力疝修补术对患者术后早期疼痛的影响. 中国普外基础与临床杂志, 2016, 23(11): 1384-1388.
8. 陈士德, 李向国, 汪晓峰, 等. 自固定补片在腹腔镜完全腹膜外腹股沟疝修补术中的临床应用. 中国普外基础与临床杂志, 2016, 23(3): 315-318.
9. Nguyen DK, Amid PK, Chen DC. Groin pain after inguinal hernia repair. Adv Surg, 2016, 50(1): 203-220.
10. 何文, 黄耿文, 阳建怡. 腹腔镜下腹股沟疝修补术后急慢性疼痛的影响因素. 中华疝和腹壁外科杂志: 电子版, 2016, 10(5): 329-332.
11. 黄永刚, 顾卯林, 郭吕, 等. 非编织聚丙烯补片免固定 TAPP 治疗腹股沟疝的临床应用(附 60 例报道). 中国普外基础与临床杂志, 2015, 22(1): 109-110.
12. 陈思梦, 刘力嘉. 腹股沟疝术后感染及慢性疼痛临床处理. 中国实用外科杂志, 2014, 35(5): 398-400.
13. Burgmans JP, Voorbrood CE, Van Dalen T, et al. Chronic pain after TEP inguinal hernia repair, does MRI reveal a cause? Hernia, 2016, 20(1): 55-62.
14. Schopf S, von Ahnen T, von Ahnen M, et al. Chronic pain after laparoscopic transabdominal preperitoneal hernia repair: a randomized comparison of light and extralight titanized polypropylene mesh. World J Surg, 2011, 35(2): 302-310.
15. Li W, Sun D, Sun Y, et al. The effect of transabdominal preperitoneal (TAPP) inguinal hernioplasty on chronic pain and quality of life of patients: mesh fixation versus non-fixation. Surg Endosc, 2017, 31(10): 4238-4243.
16. Pommergaard HC, Burcharth J, Andresen K, et al. No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation. Surg Endosc, 2017, 31(2): 661-666.
17. 朱松, 侯克柱, 刘伟, 等. 腹腔镜经腹腹膜前疝修补术使用免钉合 3D 补片治疗老年腹股沟疝的体会. 腹腔镜外科杂志, 2016, 21(2): 102-104.
18. 党晨珀, 江道振, 刘晟, 等. 比较经腹腹膜前腹股沟疝修补术中应用 3D 免钉合补片与普通平片的临床随机对照试验. 腹腔镜外科杂志, 2015, 20(7): 543-546.
19. 曹景新. 免钉合补片腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝应用观察. 中国普通外科杂志, 2012, 21(7): 908-910.
20. Sun P, Cheng X, Deng S, et al. Mesh fixation with glue versus suture for chronic pain and recurrence in Lichtenstein inguinal hernioplasty. Cochrane Database Syst Rev, 2017, 2: CD010814.
21. 孟令勤, 杨福全. 腹股沟疝无张力修补术后慢性疼痛治疗研究. 中国实用外科杂志, 2014, 34(5): 419-421.
22. Niebuhr H, Wegner F, Hukauf M, et al. What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20, 004 patients from the Herniamed Registry. Surg Endosc, 2018, 32(4): 1971-1983.
23. Andresen K, Rosenberg J. Management of chronic pain after hernia repair. J Pain Res, 2018, 11: 675-681.
24. 刘斌, 陈金辉. Lichtenstein无张力疝修补术中腹股沟区神经处理的体会. 中国普外基础与临床杂志, 2012, 19(3): 314-318.
25. Chatzimavroudis G, Kalaitzis S, Voloudakis N, et al. Evaluation of four mesh fixation methods in an experimental model of ventral hernia repair. J Surg Res, 2017, 212: 253-259.

Previous Article
The status and progress of repair and reconstruction of chest wall defect
Next Article
The status and progress of repair and reconstruction of chest wall defect

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical characteristics and risk factors of chronic pain after laparoscopic inguinal hernia repair

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content