Evidence map›Paper›PMID 24849039›Full record

ReviewLangenbeck's archives of surgery2014

Management of persistent postsurgical inguinal pain.

Mads U Werner

4 registry-linked trialsAbstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Langenbeck's archives of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02292095 phase4unknown statusnot on this mapstarted 2016, after this paper: background citation

Effects of Transverse Abdominis Plane Block Guided by Ultrasound on the Postoperative Analgesia and Quality of Lives Among the Patients Undergo Inguinal Hernia Repair

TypeinterventionalSponsorFirst Affiliated Hospital of Chongqing Medical UniversityRan2016 to 2017Enrolled260ConditionsPost-operative Pain, Inguinal HerniaArmsTAPB group, PCIA group
NCT03713047 completednot on this map

A National Center for Persistent Severe Pain After Groin Hernia Repair: Five-year Prospective Data

TypeobservationalSponsorUniversity of CopenhagenRan2010 to 2015Enrolled222ConditionsInguinal Hernia, Chronic Pain
NCT03881124 completednot on this map

Pain Trajectories in Severe Persistent Inguinal Post-herniorrhaphy Pain

TypeobservationalSponsorUniversity of CopenhagenRan2014 to 2016Enrolled95ConditionsChronic Pain
NCT05238571 completednot on this map

Somatosensory Outcomes Following Re-surgery in Persistent Severe Pain After Groin Hernia Repair

TypeobservationalSponsormads u wernerRan2009 to 2015Enrolled60ConditionsPatients With Persistent Severe Pain After Groin Hernia RepairArmsRe-surgery
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Guideline
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Neuropathic inguinal pain due to nerve injury after a laparoscopic appendectomy: first pediatric case described in the literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  8. Article
  9. Management of chronic pain after hernia repair.Journal of pain research · 2018
    Review
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Mads U WernerMultidisciplinary Pain Center, Neuroscience Center, Rigshospitalet, Copenhagen University Hospitals, Blegdamsvej 9, 2100, Copenhagen, Denmark, mads.u.werner@gmail.com.
Copenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSevere persistent pain is a major postsurgical complication affecting 2-4 % of patients following inguinal hernia repair and may cause critical physical and socioeconomic disability. This review introduces relevant criteria and analyses the current evidence base underlying recommended management strategies.

resultsDevelopment of persistent postsurgical pain (PPP) following inguinal hernia repair cannot automatically be considered to follow a simple trajectory from acute to chronic pain. Surgical management comprising neurectomy with or without meshectomy was described in 25 studies. Local anesthetic blocks, pharmacological management, and treatment with sensory stimulation methods were presented in seven studies. In spite of shortcomings, the data on surgical management demonstrate that neurectomy with or without mesh removal may provide long-lasting analgesic effects in most patients with severe PPP following inguinal hernia repair. The evidence base for other management methods is still fragile, although promising results appear in the neuromodulation studies.

conclusionsThere is a need for improved study designs and, launching of large multicenter collaborative studies supplying the necessary long-term data for recommendation of future management strategies.

Indexed as

AdultAgedAnesthetics, LocalChronic PainFemaleFollow-Up StudiesHernia, InguinalHerniorrhaphyHumansLaparoscopyLaparotomyMaleMiddle AgedNerve BlockPain ManagementPostoperative PainAnesthetics, Local

Identifiers

PMID24849039
OpenAlexW2018956819

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.