| Randomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-term chronic pain at 10 years. | |
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MedLine Citation:
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PMID: 17981189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Open mesh or non-mesh inguinal hernia repair may influence the incidence of chronic postoperative pain differently. METHODS: A total of 300 patients scheduled for repair of a primary unilateral inguinal hernia were randomized to non-mesh or mesh repair. The primary outcome measure was clinical outcome including persistent pain and discomfort interfering with daily activity. Long-term results at 3 years of follow-up have been published. Included here are 10-year follow-up results with respect to pain. RESULTS: Of the 300 patients, 87 patients (30%) died and 49 patients (17%) were lost to follow-up. A total of 153 were physically examined in the outpatient clinic after a median long-term follow-up of 129 months (range, 109 to 148 months). None of the patients in the non-mesh or mesh group suffered from persistent pain and discomfort interfering with daily activity. CONCLUSIONS: Our 10-year follow-up study provides evidence that mesh repair of inguinal hernia is equal to non-mesh repair with respect to long-term persistent pain and discomfort interfering with daily activity. An important new finding from the patient's perspective is that chronic postoperative pain seems to dissipate over time. |
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Authors:
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Ruben N van Veen; Arthur R Wijsmuller; Wietske W Vrijland; Wim C J Hop; Johan F Lange; Johannus Jeekel |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Surgery Volume: 142 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-11-05 Completed Date: 2007-12-19 Revised Date: 2009-01-13 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: United States |
Other Details:
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Languages: eng Pagination: 695-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Aged Aged, 80 and over Chronic Disease Female Follow-Up Studies Hernia, Inguinal / surgery* Humans Male Middle Aged Pain, Postoperative* Patient Satisfaction* Surgical Mesh* Time Factors Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Surgery. 2008 Nov;144(5):838
[PMID:
19081033
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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