Hernia

, Volume 10, Issue 4, pp 316–321 | Cite as

Pain and functional impairment 6 years after inguinal herniorrhaphy

Original Article

Abstract

Pain impairing daily activities following inguinal herniorrhaphy is reported by about 10% of patients, when asked 1–2 years postoperatively. However, the time course and consequences of postherniorrhaphy pain is not known in detail. A nationwide follow-up questionnaire study was undertaken 6.5 years postoperatively in 335 well-described patients reporting pain 1 year after inguinal herniorrhaphy in a previous questionnaire study. Three hundred and three patients, who were alive and could be contacted, received a questionnaire 6.5 years after the herniorrhaphy. Response rate was 88%. Of 267 patients responding, 57 were analyzed separately due to subsequent inguinal herniorrhaphy or other major surgery in the observation period, leaving 210 patients (69.3%) for primary analysis. Pain from the previous hernia site was reported by 72 patients (34.3%), and 52 patients (24.8%) reported that pain affected daily activities. Less pain, compared to the 1-year follow-up, was reported by 75.8%, while 16.7% had the same intensity level and 7.5% reported increased pain severity. In the subgroup of patients operated for a recurrence during the observation period and not included in primary analysis, 22 of 44 (50%) still experienced pain at 6.5 years, and 17 (38.6%) reported that pain affected daily activities (mean observation period 4.5 years). Pain after inguinal herniorrhaphy decreased from about 11% 1 year after surgery, but still affects daily activities in about 6% after 6.5 years. Patients operated for a recurrence are at higher risk for persistent pain.

Keywords

Pain Postoperative pain Chronic hernia Inguinal function Impairment 

Notes

Acknowledgment

This study was supported by a grant from The Lundbeck Foundation.

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Section of Surgical PathophysiologyThe Juliane Marie Centre, 4074CopenhagenDenmark
  2. 2.Department of Anaesthesia and Operating Theatre ServiceCentre of Head and OrthopaedicsCopenhagenDenmark
  3. 3.Danish Hernia Database Collaboration, Department of Surgical GastroenterologyH:S Hvidovre University HospitalHvidovreDenmark

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