ArticleHernia : the journal of hernias and abdominal wall surgery2013
Long-term follow-up after mesh removal and selective neurectomy for persistent inguinal postherniorrhaphy pain.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05238571 (Somatosensory Outcomes Following Re-surgery in Persistent Severe Pain After Groin Hernia Repair), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Somatosensory Outcomes Following Re-surgery in Persistent Severe Pain After Groin Hernia Repair
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Surgical treatment for chronic pain after inguinal hernia repair: a systematic literature review.Langenbeck's archives of surgery · 2022Pooled it
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Impact of Mesh and Fixation on Chronic Inguinal Pain in Lichtenstein Hernia Repair: 5-Year Outcomes from the Finn Mesh Study.World journal of surgery · 2021Trial
- Trial
- Trial
- The role of peripheral afferents in persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial of ultrasound-guided tender point blockade.British journal of anaesthesia · 2016Trial
- Trial
- Somatosensory Outcomes Following Re-Surgery in Persistent Severe Pain After Groin Hernia Repair: A Prospective Observational Study.Journal of pain research · 2023Article
- [Research progress of the role of postoperative pain in the development of postoperative cognitive dysfunction in geriatric patients].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2019Review
- A national center for persistent severe pain after groin hernia repair: Five-year prospective data.Medicine · 2019Article
- Mesh Removal and Selective Neurectomy for Persistent Groin Pain Following Lichtenstein Repair.World journal of surgery · 2017Article
- Surgical management of postoperative chronic inguinodynia by laparoscopic transabdominal preperitoneal approach.Surgical endoscopy · 2016Article
- Risk factors for reoperation due to chronic groin postherniorrhaphy pain.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Factors Determining Outcome After Surgery for Chronic Groin Pain Following a Lichtenstein Hernia Repair.World journal of surgery · 2015Article
- Management of persistent postsurgical inguinal pain.Langenbeck's archives of surgery · 2014Review
- [Diagnostics and therapy of chronic pain following hernia operation].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Review
- Invited commentary: Persistent pain after inguinal hernia repair: what do we know and what do we need to know?Hernia : the journal of hernias and abdominal wall surgery · 2013Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePersistent inguinal pain, influencing daily activities, is seen in about 5 % of patients following inguinal herniorrhaphy. Surgical treatment of patients with persistent postherniorrhaphy pain has been associated with pain relief and improvement in functional status. However, the detailed long-term outcome effects remain to be clarified. The aim of this study was to determine the long-term effects of mesh removal and selective neurectomy in patients with persistent postherniorrhaphy pain after previous open repair.
methodsThe study consecutively included 54 inguinal postherniorrhaphy pain patients treated with mesh removal and aimed neurectomy. Patients completed questionnaires evaluating pain intensity with a numerical rating scale (NRS) and pain-related functional impairment preoperatively, and, 3, 6, 12, 24, and 36 months postoperatively. Endpoints were changes in pain intensity and functional ability when comparing preoperative and postoperative assessments.
resultsPain intensities (average, maximum, and during activity) were significantly lower at all time points during follow-up compared to preoperative values (p < 0.01 for all) with a reduction in median (IQR) average pain intensity from 6.0 (5.0-7.0) preoperatively to 3.0 (1.0-5.5) at 36-month follow-up. There was no association between positive pain outcome and intraoperative nerve identification (p = 0.47). The number of patients who reported a long-term negative effect of the operation (≥ 25 % increase in average pain intensity at 36-month follow-up) was 1 of 8. The functional ability was improved at 3 months after the operation (p < 0.01), but the improvement was not statistically significant in the follow-up period. Preoperative signs of depression, anxiety, and catastrophizing had no influence on outcome.
conclusionsMesh removal and attempted neurectomy may provide long-lasting analgesic effects in most patients and with a small proportion being worse, without relation to pain history and operative findings. Detailed multicenter collaboration is required to define preoperative diagnostics and the indication for mesh removal and neurectomy, the exact surgical procedure (type of neurectomy) and with detailed follow-up.
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