Chronic pain after open inguinal hernia surgery: suture fixation versus self-adhesive mesh repair
Langenbeck's Archives of Surgery, 05/07/2012
Quyn AJ et al. – Open inguinal hernia repair with a self–adhesive mesh may lead to less chronic pain and less restriction of activities of daily living than a sutured mesh fixation.Methods
- All consecutive patients presenting to NHS Fife for open hernia repair between January 2009 and January 2010 were included in the analysis.
- A prospective survey of postoperative pain and activities of daily living was conducted at 6 months and 1 year following hernia repair.
- Chronic pain was assessed using the SF–36 questionnaire.
- The primary end points for analysis were incidence of chronic pain and limitation of activities of daily living.
- Overall, 132 of 215 patients completed the questionnaire, 69 in the sutured group and 63 in the self–adhesive mesh group.
- The need for analgesics was similar during the first 24 h after surgery.
- Wound infections were detected in one patient in the Lichtenstein group and two in the second group.
- The incidence of chronic pain was 21 and 7.9 % at 6 months and 18.8 and 6.3 % at 1 year (p<0.05).
- Moderate and vigorous activities were found to be limited some to all of the time in nine patients (60 %) in the suture fixation group and in one patient in the self–adhesive group (20 %, p<0.02).