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Surgical technique and chronic postoperative inguinal pain in patients undergoing open Inguinal Hernioplasty in Portugal: a prospective multicentric cohort study

2024-07-01Journal article Open access
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dc.contributor.authorSantos, Irène
dc.contributor.authorSimões, Joana F. F.
dc.contributor.authorDias, Cláudia Camila
dc.contributor.authorAlves, Mafalda Sampaio
dc.contributor.authorAzevedo, José
dc.contributor.authorCunha, Miguel
dc.contributor.authorJoão, Ana Alagoa
dc.contributor.authorNobre, José Guilherme
dc.contributor.authorPicciochi, Maria
dc.contributor.authorSoares, António Sampaio
dc.contributor.authorVieira, Bárbara
dc.contributor.authorPeyroteo, Mariana
dc.date.accessioned2024-12-02T12:45:00Z
dc.date.available2024-12-02T12:45:00Z
dc.date.issued2024-07-01
dc.description.abstractIntroduction: Evidence about the advantage of Lichtenstein’s repair, the guidelines’ recommended technique, is scarce regarding postoperative chronic inguinal pain (CPIP). The primary aim of this study was to compare CPIP in patients undergoing Lichtenstein versus other techniques. Methods: Prospective multicentric cohort study including consecutive adults undergoing elective inguinal hernia repair in Portuguese hospitals (October - December 2019). Laparoscopic and mesh-free hernia repairs were excluded. The primary outcome was postoperative pain at three months, defined as a score of ≥ 3/10 in the European Hernia Society Quality of Life score pain domain. The secondary outcome was 30-day postoperative complications.Results: Eight hundred and sixty-nine patients from 33 hospitals were included. Most were men (90.4%) and had unilateral hernias (88.6%). Overall, 53.6% (466/869) underwent Lichtenstein’s repair, and 46.4% (403/869) were treated with other techniques, of which 83.9% (338/403) were plug and patch. The overall rate of CPIP was 16.6% and 12.2% of patients had surgical complications. The unadjusted risk was similar for CPIP (OR 0.76, p = 0.166, CI 0.51 - 1.12) and postoperative complications (OR 1.06, p = 0.801, CI 0.69 - 1.60) between Lichtenstein and other techniques. After adjustment, the risk was also similar for CPIP (OR 0.83, p = 0.455, CI 0.51 - 1.34) and postoperative complications (OR 1.14, p = 0.584, CI 0.71 - 1.84).Conclusion: The Lichtenstein technique was not associated with lower CPIP and showed comparable surgical complications. Further investigation as-sessing long term outcomes is necessary to fully assess the benefits of the Lichtenstein technique regarding CPIP.eng
dc.identifier.doi10.20344/amp.20277
dc.identifier.eissn0870-399X
dc.identifier.issn1646-0758
dc.identifier.urihttp://hdl.handle.net/10400.1/26373
dc.language.isoeng
dc.peerreviewedyes
dc.publisherOrdem dos Médicos
dc.relation.hasversionhttps://actamedicaportuguesa.com/revista/index.php/amp/article/view/20277
dc.relation.ispartofActa Médica Portuguesa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectChronic Pain/etiology
dc.subjectHernia
dc.subjectHerniorrhaphy/methods
dc.subjectInguinal/surgery
dc.subjectPain
dc.subjectPortugal
dc.subjectPostoperative
dc.titleSurgical technique and chronic postoperative inguinal pain in patients undergoing open Inguinal Hernioplasty in Portugal: a prospective multicentric cohort studyeng
dc.title.alternativeTécnica cirúrgica e dor crónica inguinal pós-operatória em doentes submetidos a hernioplastia inguinal por via aberta em Portugal: uma coorte prospetiva multicêntricapor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage517
oaire.citation.issue7-8
oaire.citation.startPage507
oaire.citation.titleActa Médica Portuguesa
oaire.citation.volume37
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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