Evidence map›Paper›PMID 37248322›Full record

ArticleWorld journal of surgery2023

Postoperative Analgesics Score as a Predictor of Chronic Postoperative Inguinal Pain After Inguinal Hernia Repair: Lessons Learned From a Retrospective Analysis.

A Widder, L Reese, J F Lock, A Wiegering, C-T Germer, G-K Kindl, H L Rittner, U Dietz, J Doerfer, N Schlegel and 1 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Tissue repair: suture closure of the internal inguinal ring in rTAPP.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Observational
  3. Review
  4. Review
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  12. Chronic postsurgical pain (CPSP): an underestimated problem after incisional hernia treatment.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

A WidderDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
L ReeseDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
J F LockDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
A WiegeringDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
C-T GermerDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
G-K KindlCenter for Interdisciplinary Pain Medicine, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, University Hospital of Wuerzburg, Würzburg, Germany.
H L RittnerCenter for Interdisciplinary Pain Medicine, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, University Hospital of Wuerzburg, Würzburg, Germany.
U DietzDepartment of Visceral, Vascular and Thoracic Surgery, Cantonal Hospital Olten (soH), Olten, Switzerland.
J DoerferDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
N SchlegelDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany.
M MeirDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery; Center of Operative Medicine (ZOM), University Hospital of Würzburg, Würzburg, Germany. Meir_M@ukw.de.
Universitätsklinikum Würzburg · DEKantonsschule Olten · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic postoperative inguinal pain (CPIP) is a common complication after inguinal hernia surgery and occurs in up to 10-14% of cases. CPIP has a significant impact on daily life, work ability and thus compromises quality of life. The aim of this retrospective study was an in-depth analysis of patients undergoing inguinal hernia repair to further refine the prediction of the onset of CPIP reliably.

methodsA single center retrospective analysis of patients with who underwent open or minimally invasive inguinal hernia repair from 2016 to 2021 was carried out. Complication rates, detailed analysis of postoperative pain medication and quality of life using the EuraHS Quality of Life questionnaire were assessed.

resultsOut of 596 consecutive procedures, 344 patients were included in detailed analyses. While patient cohorts were different in terms of age and co-morbidities, and the prevalence of CPIP was 12.2% without differences between the surgical procedures (Lichtenstein: 12.8%; TEP 10.9%; TAPP 13.5%). Postoperative pain was evaluated using a newly developed analgesic score. Patients who developed CPIP later had a significant higher consumption of analgesics at discharge (p = 0.016). As additional risk factors for CPIP younger patient age and postoperative complications were identified.

conclusionThe prospective use of the analgesic score established here could be helpful to identify patients that are at risk to develop CPIP. These patients could benefit from a structured follow-up to allow early therapeutic intervention to prevent chronification and restore the quality of life.

Indexed as

Hernia, InguinalAnalgesicsHerniorrhaphyHumansInositol PhosphatesPostoperative PainProstaglandins EQuality of LifeRetrospective StudiesAnalgesicsInositol Phosphatesprostaglandin-inositol cyclic phosphateProstaglandins E

Identifiers

PMID37248322
PMCPMC10474177
OpenAlexW4378714339

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Registered trials

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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.