ReviewChronic pain after mesh repair of inguinal hernia: a systematic review
Section snippets
Methods
The Medline database, Cumulative Index to Nursing and Allied Health Literature, Embase, and Pubmed, including e-links to related articles, and the clinical trial registry of the Cochrane Collaboration were searched for relevant prospective trials on inguinal hernia repair reporting chronic pain. The strategy was by free text words: hernia and inguinal and pain or neuralgia and mesh or tension-free or laparoscopy, and whenever possible by medical subject headings. Those considered for full
Description of the studies
The cumulative search of the databases identified 680 publications. Based on title and/or abstract, 159 were potentially relevant and underwent critical appraisal on full article. Thirty-four studies were included in the review [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39] Three of them were long-term results of other included trials [12], [14]
Comments
Based on an analysis of 29 good-quality studies meeting our inclusion criteria, 11% of patients suffer chronic pain following mesh-based inguinal hernia repair. More than one quarter of these patients has moderate to severe pain, mostly with a neuropathic origin. As a consequence of chronic pain, almost one third of the patients have limitations in daily leisure activities. Chronic pain is less frequent after endoscopic repair and with the use of a light-weighted mesh. There is a tendency for
References (45)
- et al.
Open mesh versus laparoscopic mesh repair of inguinal hernia
N Engl J Med
(2004) - et al.
Prospective nationwide analysis of laparoscopic versus Lichtenstein repair of inguinal hernia
Br J Surg
(2005) - et al.
A review of chronic pain after inguinal herniorrhaphy
Clin J Pain
(2003) - et al.
Chronic postoperative pain: the case of inguinal herniorrhaphy
BJA
(2005) Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms
- et al.
Is there a need for a mesh plug in inguinal hernia repair?Randomized, prospective study of the use of Hertra 1 mesh compared to PerFix Plug
Hernia
(2006) - et al.
Influence of preservation versus division of ilioinguinal, iliohypogastric, and genital nerves during open mesh herniorrhaphy: prospective multicentric study of chronic pain
Ann Surg
(2006) - et al.
[Chronic pain after inguinal hernia mesh repair: possible role of surgical manipulation of the inguinal nerves. A prospective multicentre study of 973 cases]
Chir Ital
(2006) - et al.
Inguinal hernia repair with beta glucan-coated mesh: prospective multicentre study (115 cases)—preliminary results
Hernia
(2004) - et al.
Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial
Ann Surg
(2003)
Early results of a single-blinded, randomized, controlled, Internet-based multicentre trial comparing Prolene and Vypro II mesh in Lichtenstein hernioplasty
Hernia
One year results of a randomised controlled multi-centre study comparing Prolene and Vypro II-mesh in Lichtenstein hernioplasty
Hernia
Inguinodynia after two inguinal herniorrhaphy methods
Surg Laparosc Endosc Percutan Techn
Inguinal hernia repair with beta glucan-coated mesh: results after two year follow-up
Hernia
Randomized clinical trial comparing laparoscopic totally extraperitoneal approach with open mesh repair in inguinal hernia
Surg Laparosc Endosc Percutan Tech
Five-year outcome of laparoscopic and Lichtenstein hernioplasties
Surg Endosc
Sutureless Lichtenstein: first results of a prospective randomised clinical trial
Hernia
[Tension-free methods of surgery of primary inguinal hernias. Comparison of endoscopic, total extraperitoneal hernioplasty with the Lichtenstein operation]
Chirurg
Prolene hernia system compared with mesh plug technique: a prospective study of short to mid-term outcomes in primary groin hernia repair
Hernia
Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty
Surg Endosc
Fibrin sealant versus mechanical stapling for mesh fixation during endoscopic extraperitoneal inguinal hernioplasty: a randomized prospective trial
Ann Surg
Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia
Surg Endosc
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