Document Detail


Randomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-term chronic pain at 10 years.
MedLine Citation:
PMID:  17981189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Surgery     Volume:  142     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-12-19     Revised Date:  2009-01-13    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  695-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
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:
Surgery. 2008 Nov;144(5):838   [PMID:  19081033 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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