ArticleHernia : the journal of hernias and abdominal wall surgery2015
Long-term outcome of surgical treatment of chronic postoperative groin pain: a word of caution.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Impact of different neurectomy techniques on managing chronic pain after inguinal hernia repair: a meta-analysis and systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- 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
- Preoperative predictors of chronic pain after laparoendoscopic groin hernia repair: A Swedish Hernia Registry study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Posthernioplasty inguinodynia.BMJ case reports · 2023Article
- Article
- A narrative review on the non-surgical treatment of chronic postoperative inguinal pain: a challenge for both surgeon and anaesthesiologist.Hernia : the journal of hernias and abdominal wall surgery · 2023Review
- Somatosensory Outcomes Following Re-Surgery in Persistent Severe Pain After Groin Hernia Repair: A Prospective Observational Study.Journal of pain research · 2023Article
- Step-by-step guide to safe removal of pre-peritoneal inguinal mesh.Surgical endoscopy · 2019Article
- Neuralgia due to iliohypogastric nerve injury after inguinal hernioplasty: a case report.BMC surgery · 2018Article
- Transabdominal laparoscopic retroperitoneal neurectomy for chronic pain after inguinal hernia repair and appendicectomy -a matched-pair study.BMC surgery · 2017Article
- 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
- Is chronic post-herniorrhaphy pain always chronic? A literature review.Journal of pain research · 2015Review
- Management of persistent postsurgical inguinal pain.Langenbeck's archives of surgery · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChronic postoperative groin pain is widely accepted to be a serious clinical condition after inguinal hernia repair and Pfannenstiel incision. Surgical treatment has been reported to be effective, but the long-term outcome following these interventions remains unclear. This retrospective study reports the outcome and investigates patient and intra-operative factors to identify possible predictors of success. A literature review of other outcome studies with more than 1 year follow-up is also presented.
methodsA registry of patients who underwent surgery for chronic postoperative groin pain was analyzed. Pain was assessed using DN4-score and VAS-scale. Primary endpoint was successful pain reduction, as defined by the ratio of VASmax (post/pre) and the subjective outcome (better vs. same-worse).
resultsFifteen patients underwent surgery for chronic postoperative groin pain between December 2000 and April 2010. Overall, significant pain reduction was achieved in 1/3 of patients. There was no significant association between patient or intra-operative factors and favorable outcome. A complete concordance between subjective outcome and the ratio of VASmax (post/pre) was noted.
conclusionThe success of surgery for chronic postoperative groin pain is difficult to predict. In this study, one in three patients benefits from an operative treatment. The ratio of VASmax (post/pre) is suggested as a useful pain assessment tool. A further prospective study of sufficient sample size is necessary to identify possible factors associated with favorable outcome after surgery for chronic groin pain.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.