Patient Satisfaction, Hernia Recurrence Rate, and Chronic Pain 10 Years After Endoscopic Total Extraperitoneal Inguinal Hernia Repair

2009 ◽  
Vol 19 (5) ◽  
pp. 405-409 ◽  
Author(s):  
Ralph Fabian Staerkle ◽  
Christian Buchli ◽  
Peter Villiger
Keyword(s):  
Chronic Pain ◽  
Patient Satisfaction ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Hernia Recurrence ◽  
Total Extraperitoneal

scholarly journals Effect of Early Return to Work After Laparoscopic Total Extraperitoneal Hernia Repair: a Retrospective Comparative Cohort Study

2021 ◽  
Author(s):  
Ting-En Tai ◽  
An-Chi Chou ◽  
Ching-Che Lin ◽  
Chih-Kuan Wu ◽  
Yao-Chou Tsai
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Recurrence Rate ◽  
Hernia Recurrence ◽  
Early Group ◽  
Early Return ◽  
Total Extraperitoneal ◽  
Late Group

Abstract BackgroundThis study compares the outcomes of early and late return to work after laparoscopic total extraperitoneal inguinal hernia repair (TEP).MethodsBetween March 2008 and December 2019, we reviewed 506 cases who underwent laparoendoscopic total extraperitoneal hernia repair (TEP). Of these, 231 cases, who returned to work within one week after surgery, were classified as the early group, and 275 cases, who had no job or returned to work after longer than one week, were classified as the late group. Primary endpoint is inguinal hernia recurrence. Secondary endpoints were post-operative chronic inguinal pain, which is defined as persistent pain 6 months after operation, seroma formation, and modified medical outcome study (MOS) score. Results The two groups had comparable baseline characteristics, except the early group were younger (51±13.1 vs. 58.2±15.9, p<0.001) and had less constipation risk before operation (10.0% vs. 18.5%, p=0.006). The early return to work group did not increase inguinal hernia recurrence rate (1.7% versus 2.9%, p=0.386). Furthermore, the early group is associated with significant less chronic pain (4.8% versus 11.6%, p=0.006). There is no difference in post-operative seroma formation or MOS scores between early and late group.Conclusion Patients who underwent laparoscopic TEP hernia repair and returned to work within one week did not show increased hernia recurrence rate or complications. Besides, early return to work was associated with significant less chronic pain. Early return to work after TEP repair is safe and feasible. Patients are encouraged to return to work earlier after TEP.

Inguinal Hernia Repair Using Self-adhering Sutureless Mesh: Adhesix™: A 3-Year Follow-up with Low Chronic Pain and Recurrence Rate

2016 ◽  
Vol 82 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Malek Tabbara ◽  
Laurent Genser ◽  
Manuela Bossi ◽  
Maxime Barat ◽  
Claude Polliand ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Initial Surgery ◽  
Complications Rate

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh “Adhesix™” and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were repaired using a modified Lichtenstein technique. Preoperative, perioperative, and postoperative data were prospectively collected. Incidence of chronic pain, postoperative complications, recurrence, and patient satisfaction were assessed three years postoperatively by conducting a telephone survey. We had 143 patients with a mean age of 58 years (17–84), who underwent 149 hernia repairs using the Adhesix™ mesh. Ninety-two per cent (131 patients) were males. Only 10 patients (7%) had a postoperative pain for more than three years. In our series, neither age nor gender was predictive of postoperative pain. Only one patient had a hematoma lasting for more than one month and only four patients (2.8%) had a recurrence of their hernia within three years of their initial surgery. Ninety per cent of the patient expressed their satisfaction when surveyed three years after their surgery. In conclusion, the use of the self-adhering sutureless mesh for inguinal hernia repair has been proving itself as effective as the traditional mesh. Adhesix™ is associated with low chronic pain rate, recurrence rate, and postoperative complications rate, and can be safely adopted as the sole technique for inguinal hernia repair.

Impact of Mesh Fixation on Chronic Pain in Total Extraperitoneal Inguinal Hernia Repair (TEP)

2016 ◽  
Vol 263 (6) ◽  
pp. 1199-1206 ◽  
Author(s):  
Nihad Gutlic ◽  
Peder Rogmark ◽  
Pär Nordin ◽  
Ulf Petersson ◽  
Agneta Montgomery
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Total Extraperitoneal

Chronic pain following elective inguinal hernia repair—is it a common clinical problem?

2007 ◽  
Vol 32 (Suppl. 1) ◽  
pp. 174
Author(s):  
Z. M. Kirkor ◽  
T. N. Evans ◽  
H. Mathew ◽  
C. Swart ◽  
C. Morris ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Clinical Problem ◽  
Common Clinical Problem

Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: Overcoming the learning curve

2004 ◽  
Vol 18 (4) ◽  
pp. 642-645 ◽  
Author(s):  
Pawanindra Lal ◽  
R. K. Kajla ◽  
J. Chander ◽  
V. K. Ramteke
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Total Extraperitoneal

Assessment of Intra-Operative Difficulties and Early Post-Operative Complications in Laparoscopic Inguinal Hernia Repair using Conventional Polypropylene Mesh Versus 3D Mesh

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hazem AbdelSalam Mohamed ◽  
Karim Fahmy ◽  
Mohammad Ahmad Abd-erRazik ◽  
Shaimaa Atef Ismaeil Awwad Elkomy
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Three Dimensional ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Fixation Time ◽  
3D Mesh ◽  
Laparoscopic Inguinal Hernia ◽  
Operative Complications

Abstract Background The fundamental mechanism of abdominal wall hernia formation is the loss of structural integrity at the musculotendinous layer. The exact cause of inguinal hernia is still unknown but the factors contributing in its occurrence include; preformed congenital sac, chronic passive rise in the intra-abdominal pressure and weak abdominal wall. Aim of the Work To assess intra-operative difficulties of laparoscopic inguinal hernia repair using two different meshes: The conventional polyproline mesh and the three-dimensional (3D) mesh, as regard the operative time. And early post-operative complications including post-operative seroma, early postoperative pain, chronic pain and limitation of function. Patients and Methods In our study 30 patients were recruited according to our preset inclusion and exclusion criteria. They were divided randomly into two groups, a group in which the 3D mesh was used and a group in which the polypropylene mesh was used. The study was conducted in Ain Shams University hospitals for 6 months, in which patients where followed up from 3 to 6 months and compared in terms of intraoperative time, post-operative pain after one week, restriction of physical activity, seroma formation and presence of chronic pain. Results In our study the mean application time (minutes) in 3D group was found to be 7.07 ± 2.66 while in PP group it was found to be 12.53±3.66 with highly statistically significant difference between them at p &lt; 0.001. We believe that this difference in fixation time in our present study is attributed to easy insertion through the port, easy intraoperative handling, and easy unfolding of 3D mesh. Conclusion The use of three-dimensional mesh (3D mesh) for laparoscopic inguinal hernia repair is a safe and viable option. It offers many advantages in terms of less fixation time, shorter hospital stays, early recovery with a better movement limitation score. Whereas chronic pain was found to be similar in both groups. Further, elimination of tacks for fixation and shorter hospital stay may reduce the cost of 3D mesh. Longer-term studies are recommended with a larger sample size and follow up duration for better assessment of chronic pain, also for following up on recurrence.

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