ArticleBMC surgery2020
Chronic pain after groin hernia repair: pain characteristics and impact on quality of life.
Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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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.
Transition From Acute to Chronic Pain After Inguinal Hernia, Hysterectomy and Thoracotomy : Analysis of Risk Factors and Association With Genetic Polymorphisms
Somatosensory Outcomes Following Re-surgery in Persistent Severe Pain After Groin Hernia Repair
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Mesh fixation versus non-fixation in totally extraperitoneal inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Pooled it
- Pooled it
- Clinical examination of musculoskeletal groin pain: a simple protocol for hernia surgeons (Groin-MAP).Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Introducing autofluorescence technology for inguinal nerve visualization in open anterior hernia surgery: a step forward in surgical precision and safety.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Chronic Groin Pain After Hernia Surgery: What Are We Missing?Journal of clinical medicine · 2025Review
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Chronic postsurgical inguinal pain: incidence and diagnostic biomarkers from a large German national claims database.British journal of anaesthesia · 2025Article
- Risk factors for recurrence after open neonatal hernia repair: A single-center, retrospective study.World journal of gastrointestinal surgery · 2025Article
- Comment on: "Long-term quality of life outcomes following robotic inguinal hernioplasty: a single-centre experience of 100 cases".Journal of robotic surgery · 2025Article
- Knowledge and Practices Regarding Chronic Pain After Groin Hernia Surgery: A National Resident Survey in Senegal.Journal of abdominal wall surgery : JAWS · 2025Article
- Chronic postoperative inguinal pain: prevention is better than 'cure'.Frontiers in surgery · 2025Article
- Postoperative pain in transabdominal preperitoneal laparoscopic hernia repair with staple fixation versus self-fixation mesh.Heliyon · 2024Article
- Surgical Treatment of Neuropathic Chronic Postherniorrhaphy Inguinal Pain: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- QUALITY OF LIFE USING EURAHS-QoL SCORES AFTER SURGICAL TREATMENT OF INGUINAL HERNIA: LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) AND LICHTENSTEIN TECHNIQUES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024Observational
- Article
- Physiologic Cyclical Load on Inguinal Hernia Scaffold ProFlor Turns Biological Response into Tissue Regeneration.Biology · 2023Article
- Somatosensory Outcomes Following Re-Surgery in Persistent Severe Pain After Groin Hernia Repair: A Prospective Observational Study.Journal of pain research · 2023Article
- The Harald Breivik lecture 2022. Pathophysiology in persistent severe pain after groin hernia repair.Scandinavian journal of pain · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic postsurgical pain (CPSP) after hernia repair research has mainly relied on unconfirmed self-reporting. We aimed to describe confirmed CPSP incidence, management, and quality of life (QoL) in a 2-year prospective study.
methodsMulticenter study (GENDOLCAT) of 3890 patients undergoing 4 common surgical procedures in 23 hospitals to develop a risk model for CPSP; 2352 men underwent open hernia repair. Patients with pain were identified by telephone at 1 and 3 months and referred to the hospital 4 months after surgery for a physical examination to confirm CPSP. Three validated tools were used: the Brief Pain Inventory (BPI) for severity, analgesic use, and interference with activities; the SF-12 questionnaire for QoL (validated Spanish version), and the Douleur Neuropathique 4 (DN4). Patients with CPSP were called again at 1 and 2 years.
resultsIn 1761 patients who underwent hernia repair and were eligible for physical examination for CPSP, the incidence of confirmed pain at 4 months was 13.6% (patient-reported pain, 6.2% at 1 year and 4.0% at 2 years). Neuropathic pain was diagnosed in 38.5% of the CPSP patients at 4 months. The incidences of neuropathic CPSP in patients with mesh or non-mesh repairs were similar (38.6 and 33.3%, respectively). SF-12 physical component scores changed little in all patients, whether or not they developed CPSP. The SF-12 mental component decreased significantly in all patients, but the decrease was clinically significant only in CPSP patients. CPSP interfered with activities (18%), work (15.6%), walking (15%) and mood (10.2%). At 2 years 52.1% of CPSP patients had moderate/intense pain and 28.2% took analgesics.
conclusionCPSP affects QoL-related activities, and although it diminishes over the course of 2 years after surgery, many patients continue to have moderate/intense pain and take analgesics. CPSP and neuropathic pain rates seem to be similar after mesh and non-mesh repair. BPI and SF-12 mental component scores detect effects on QoL.
trial registrationClinicalTrials.gov NCT01510496.
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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.