Abstract
Chronic or long-term pain following open incisional hernia repair is poorly documented. Traditionally, studies of incisional hernia repair have focussed only on short-term complications (infection, haematoma), major morbidity, hospital stay, and recurrence. Chronic pain (defined as pain persisting more than 3 months postoperatively [1]) has not been perceived as a significant issue, a similar situation to that for inguinal hernia repair until recently. Indeed, a recent review of surgical treatment of incisional hernia [2] did not mention postoperative pain at all. However, with surgeons’ increasing awareness of the importance of patient-reported outcomes [3], long-term pain following incisional hernia repair is increasingly recognised as a significant clinical problem. Although it can occur following open or laparoscopic repair, this article will confine itself to the problem of chronic postoperative pain after open mesh repair.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
International Association for the Study of Pain (1999). Classification of chronic pain. Description, of chronic pain syndromes and definitions of pain terms. Pain Suppl 3:S1–S226
Cassar K, Munro A (2002). Surgical treatment of incisional hernia. Br J Surg 89:534–545.
Holt PJ, Poloniecki JD, Thompson MM (2008). How to improve surgical outcomes. Br Med J 336:900–904
McLanahan D, King L, Weems C et al. (1997). Retrorectus prosthetic mesh repair of midline abdominal hernia. Am J Surg 173:445–449
Burger JW, Liujendijk RW, Hop WC, et al. (2004). Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583; discussion 83–85
Paajanen H, Hermunen H (2004). Long-term pain and recurrence after repair of ventral incisional hernias by open mesh: clinical and MRI study. Langenbecks Arch Surg 389:366–370
Kingsnorth A (2008). Open onlay mesh repair for major abdominal wall hernias with selective use of components separation and fibrin sealant. World J Surg 32:26–30
Korenkov M, Sauerland S, Arndt M, et al. (2002). Randomized clinical trial of suture repair, polypropylene mesh or autodermal hernioplasty for incisional hernia. Br J Surg 89:50–56
Machairas A, Misiakos EP, Liakakos T, et al. (2004). Incisional hernioplasty with extraperitoneal onlay polyester mesh. Am Surg 70:726–729
Sugerman HJ, Kellum JMJ, Reinesm HD, et al. (1996). Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg 171:80–84
Martin-Duce A, Noguerales R, Villeta R, et al. (2001). Modifications to Rives technique for midline incisional hernia repair. Hernia 5:70–72
Costalat G, Noel P, Vernhet G (1991). Technique de cure d’eventration par prothese parietale. Ann Chir 45:882–888
Cubertafond P, Sava P, Gainant A, et al. (1989). Cure chirurgical des eventrations post-operatoires par plaque prothetique. Chirurgie 115:66–71
Klinge U, Klosterhalfen B, Muller M, et al. (1999). Foreign body reaction to meshes used for the repair of abdominal wall hernias. Eur J Surg 165:665–673
Klosterhalfen B, Klinge U, Hermanns B, et al. (2000). Pathology of traditional surgical nets for hernia repair after long-term implantation in humans. Chirurg 71:43–51
Klosterhalfen B, Junge K, Hermanns B, et al. (2002). Influence of implantation interval on the long-term biocompatibility of surgical mesh. Br J Surg 89:1043–1048
Welty G, Klinge U, Klosterhalfen B, et al. (2001). Functional impairment and complaints following incisional hernia repair with different polypropylene meshes. Hernia 5:142–147
Kurzer M, Kark A, Selouk S, et al. (2008). Open mesh repair of incisional hernia using a sublay technique: long-term follow-up. World J Surg 32:31–36
Bitzer EM, Lorenz C, Nickel S, et al. (1008). Patient-reported outcomes in hernia repair. Hernia 12:407–414
Nieuwenhuizen J, Kleinrensink GJ, Hop WC, et al. (2008). Indications for incisional hernia repair: an international questionnaire among hernia surgeons. Hernia 12:223–225
Nieuwenhuizen JA, Halm J, Jeekel J, et al. (2007). Natural course of incisional hernia and indications for repair. Scand J Surg 96:293–296
Muller-Riemenschneider F, Roll S, Friedrich M, et al. (2007). Long-term effectiveness of interventions promoting physical activity: a systematic review. Surg Endosc 21:2127–2136
Müller M, Klinge U, Conze J, Schumpelick V. (1998). Abdominal wall compliance after Marlex mesh implantation for incisional hernia repair. Hernia 2:113–117
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Kurzer, M., Kark, A., Hussain, S.T. (2010). Chronic Pain After Open Mesh Repair of Incisional Hernia. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11541-7_29
Download citation
DOI: https://doi.org/10.1007/978-3-642-11541-7_29
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-04552-3
Online ISBN: 978-3-642-11541-7
eBook Packages: MedicineMedicine (R0)