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Erschienen in: Hernia 2/2017

26.12.2016 | Original Article

Prospective study evaluating the impact of severity of chronic pain on quality of life after inguinal hernioplasty

verfasst von: C. Nikkolo, Ü. Kirsimägi, T. Vaasna, M. Murruste, J. Suumann, H. Seepter, U. Lepner

Erschienen in: Hernia | Ausgabe 2/2017

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Abstract

Purpose

The definition of chronic pain after inguinal hernioplasty and the methods of its assessment vary a great deal, which make it complicated to conduct meta-analyses. The primary aim of the present prospective study was to evaluate at which pain severity degree the quality-of-life scores will be reduced.

Method

A prospective study of patients operated for inguinal hernia was conducted. A pain questionnaire and a quality-of-life (QoL) questionnaire were completed.

Results

Altogether, 370 patients were investigated and included in analysis. Of them, 33.8% experienced pain during different activities. Compared to the non-pain response group, significantly lower QoL scores for the Bodily pain domain were reported by patients who gave 1, 2, or 3 positive responses to the pain questionnaire. Patients with no pain as well as patients who gave 1 positive response to the pain questionnaire and whose VAS score was ≤20 had similar QoL scores for all domains. Patients who gave 1 positive response to the pain questionnaire and whose VAS score was >20, and patients who gave two or more positive responses to the pain questionnaire, showed significantly lower QoL scores in most of the domains compared with the non-pain group. When the patients who gave 1 positive response to the pain questionnaire and whose VAS score was ≤20 were excluded from the group of patients with pain, the rate of chronic pain was 19.7%. Considering the above result, the reduction in the rate of chronic pain from 33.8 to 19.7% was statistically significant.

Conclusion

Pain scores 20 mm or less on the VAS (0 to 100 mm) have no impact on the patients’ quality of life. Uniform assessment methods of chronic pain should be developed to improve the quality of research.
Literatur
1.
Zurück zum Zitat O’Dwyer PJ, Kingsnorth AN, Molloy RG, Small PK, Lammers B, Horeyseck G (2005) Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. Br J Surg 92:166–170CrossRefPubMed O’Dwyer PJ, Kingsnorth AN, Molloy RG, Small PK, Lammers B, Horeyseck G (2005) Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. Br J Surg 92:166–170CrossRefPubMed
2.
Zurück zum Zitat Van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O’Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12:561–569CrossRefPubMed Van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O’Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12:561–569CrossRefPubMed
3.
Zurück zum Zitat Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:343–403CrossRefPubMedPubMedCentral Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13:343–403CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J et al (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18:151–163CrossRefPubMed Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J et al (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18:151–163CrossRefPubMed
5.
Zurück zum Zitat Nikkolo C, Vaasna T, Murruste M, Seepter H, Kirsimagi U, Lepner U (2016) Three-year results of a Single-Centre Single-Blinded Randomised Study evaluating the impact of mesh pore size on chronic pain after Lichtenstein hernioplasty. Scand J Surg 105:141–146CrossRefPubMed Nikkolo C, Vaasna T, Murruste M, Seepter H, Kirsimagi U, Lepner U (2016) Three-year results of a Single-Centre Single-Blinded Randomised Study evaluating the impact of mesh pore size on chronic pain after Lichtenstein hernioplasty. Scand J Surg 105:141–146CrossRefPubMed
6.
Zurück zum Zitat Śmietański M, Bigda J, Zaborowski K, Worek M, Śledziński Z (2009) Three-year follow-up of modified Lichtenstein inguinal hernioplasty using lightweight poliglecaprone/polypropylene mesh. Hernia 13:239–242CrossRefPubMed Śmietański M, Bigda J, Zaborowski K, Worek M, Śledziński Z (2009) Three-year follow-up of modified Lichtenstein inguinal hernioplasty using lightweight poliglecaprone/polypropylene mesh. Hernia 13:239–242CrossRefPubMed
7.
Zurück zum Zitat Sanders DL, Waydia S (2014) A systematic review of randomised control trials assessing mesh fixation in open inguinal hernia repair. Hernia 18:165–176CrossRefPubMed Sanders DL, Waydia S (2014) A systematic review of randomised control trials assessing mesh fixation in open inguinal hernia repair. Hernia 18:165–176CrossRefPubMed
8.
Zurück zum Zitat Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 8:1–7CrossRefPubMed Amid PK (2004) Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 8:1–7CrossRefPubMed
9.
Zurück zum Zitat Hays RD, Sherbourne CD, Mazel RM (1993) The rand 36-item health survey 1.0. Health Econ 2:217–227CrossRefPubMed Hays RD, Sherbourne CD, Mazel RM (1993) The rand 36-item health survey 1.0. Health Econ 2:217–227CrossRefPubMed
10.
Zurück zum Zitat Molegraaf M, Lange J, Wijsmuller A (2016) Uniformity of chronic pain assessment after inguinal hernia repair: a critical review of the literature. Eur Surg Res 58:1–19CrossRefPubMedPubMedCentral Molegraaf M, Lange J, Wijsmuller A (2016) Uniformity of chronic pain assessment after inguinal hernia repair: a critical review of the literature. Eur Surg Res 58:1–19CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Merskey H, Bogduk N (1994) Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. In: Prepared by the International Association for the Study of Pain, Task Force on Taxonomy. Seattle, IASP Press Merskey H, Bogduk N (1994) Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. In: Prepared by the International Association for the Study of Pain, Task Force on Taxonomy. Seattle, IASP Press
12.
Zurück zum Zitat Benzon H, Raja S, Fishman S, Liu S, Cohen S (2011) Essentials of pain medicine, 3rd edn. Saunders Elsevier, Philadelphia Benzon H, Raja S, Fishman S, Liu S, Cohen S (2011) Essentials of pain medicine, 3rd edn. Saunders Elsevier, Philadelphia
13.
Zurück zum Zitat Aasvang E, Kehlet H (2005) Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 95:69–76CrossRefPubMed Aasvang E, Kehlet H (2005) Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 95:69–76CrossRefPubMed
14.
Zurück zum Zitat Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR et al (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15:239–249CrossRefPubMed Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR et al (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15:239–249CrossRefPubMed
15.
Zurück zum Zitat Jorgensen LN, Sommer T, Assaadzadeh S, Strand L, Dorfelt A, Hensler M et al (2013) Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg 100:474–481CrossRefPubMed Jorgensen LN, Sommer T, Assaadzadeh S, Strand L, Dorfelt A, Hensler M et al (2013) Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg 100:474–481CrossRefPubMed
16.
Zurück zum Zitat Page B, Paterson C, Young D, O’Dwyer PJ (2002) Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg 89:1315–1318CrossRefPubMed Page B, Paterson C, Young D, O’Dwyer PJ (2002) Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg 89:1315–1318CrossRefPubMed
17.
Zurück zum Zitat Nikkolo C, Murruste M, Vaasna T, Seepter H, Tikk T, Lepner U (2012) Three-year results of randomised clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia 16:555–559CrossRefPubMed Nikkolo C, Murruste M, Vaasna T, Seepter H, Tikk T, Lepner U (2012) Three-year results of randomised clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia 16:555–559CrossRefPubMed
18.
Zurück zum Zitat Nikkolo C, Lepner U (2016) Chronic pain after open inguinal hernia repair. Postgrad Med 128:69–75CrossRefPubMed Nikkolo C, Lepner U (2016) Chronic pain after open inguinal hernia repair. Postgrad Med 128:69–75CrossRefPubMed
Metadaten
Titel
Prospective study evaluating the impact of severity of chronic pain on quality of life after inguinal hernioplasty
verfasst von
C. Nikkolo
Ü. Kirsimägi
T. Vaasna
M. Murruste
J. Suumann
H. Seepter
U. Lepner
Publikationsdatum
26.12.2016
Verlag
Springer Paris
Erschienen in
Hernia / Ausgabe 2/2017
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-016-1569-4

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