Impact of preoperative anxiety on chronic postoperative pain after inguinal hernia repair
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Hatice Feyizi
- Ayşegül Bilen
- Rasim Onur Karaoğlu
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
This study aimed to investigate whether preoperative anxiety levels influence the incidence and severity of chronic postoperative pain in patients undergoing inguinal hernia repair.
Methods
A prospective observational study was conducted in 75 adult patients scheduled for elective inguinal hernia repair under general anesthesia. Preoperative anxiety was assessed using the State-Trait Anxiety Inventory (STAI). Pain intensity and characteristics were evaluated with the Numeric Rating Scale (NRS) at 24 h, 1 month, 3 months, and 6 months postoperatively. Chronic postoperative pain was defined as pain persisting for ≥ 3 months. Statistical analyses included Spearman correlation and logistic regression to identify predictors of chronic pain. The primary outcome was the incidence of chronic postoperative pain (CPSP), defined as NRS ≥ 1 at ≥ 3 months. Effect sizes are reported with 95% confidence intervals.
Results
Of 75 enrolled patients, 64 completed the 6-month follow-up. Chronic postoperative pain was reported in 46.9% at 3 months and 39.1% at 6 months, with 25% experiencing moderate-to-severe pain (NRS ≥ 4) at 6 months. Persistent pain at 6 months was predominantly neuropathic in nature. Higher preoperative STAI-State and STAI-Trait scores were significantly correlated with pain intensity at 1, 3, and 6 months (p < 0.001). Multivariate logistic regression identified the STAI-State score as an independent predictor of chronic pain, with each 1-point increase raising the odds by 40% (OR 1.40, 95% CI 1.20–1.64).
Conclusion
Preoperative anxiety was associated with chronic postoperative pain after inguinal hernia repair. These findings highlight an association and underscore the need for larger multicenter studies with longer follow-up.
Trial registration
Not applicable.
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- Titel
- Impact of preoperative anxiety on chronic postoperative pain after inguinal hernia repair
- Verfasst von
-
Hatice Feyizi
Ayşegül Bilen
Rasim Onur Karaoğlu
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-025-03502-9
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