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Prospective randomized trial of laparoscopic (transabdominal preperitoneal-TAPP) versus open (mesh) repair for bilateral and recurrent inguinal hernia: incidence of chronic groin pain and impact on quality of life: results of 10 year follow-up
Hernia, 07/09/2012
Clinical Article
Bignell M et al. – Chronic groin pain (CGP) following laparoscopic surgery for inguinal hernia repair is less severe than open repair, but this does not translate into a significant improvement in QoLin this study.
Methods- Patients enrolled between 1997 and 2000 were contacted by telephone and asked about the presence of CGP.
- Those patients with CGP were sent two validated questionnaires: a SF–12v2 Health Survey and a Pain Impact Questionnaire (PIQ–6) (QualityMetric, USA).
- One hundred and twenty patients were recruited into the original study, and of these, 14 complained of CGP and were sent a PIQ–6 and a SF–12 v2 health survey.
- Overall, there was a higher incidence of CGP in the laparoscopic group compared with the open group (15 vs. 8 %, ns), but the severity of the pain in the laparoscopic group was less (2 vs. 3.5, p = 0.0558).
- QoL was significantly reduced in patients with CGP compared with the US norm.
- The laparoscopic group scored higher in 5 out of 8 of the QoL categories compared with the open group, but this was not significant.
- Overall age–adjusted scores revealed those under 65 years of age felt they had poorer physical health, and this reduced their QoL compared to normal values.
