Chronic Pain After Open Inguinal Hernia Surgery: Suture Fixation Versus Self-adhesive Mesh Repair

Overview

Journal Langenbecks Arch Surg

Specialty General Surgery

Date 2012 May 3

PMID 22549174

Citations 11

Authors

A J Quyn

K M Weatherhead

T Daniel

Affiliations

Soon will be listed here.

Abstract

Purpose: Chronic pain following inguinal hernia repair is a complex problem. Mesh fixation with sutures may be a contributing factor to this pain. The aim of this study was to compare the incidence of chronic pain and limitation of activities of daily living following inguinal hernia repair using a sutured mesh to a self-adhesive mesh, 6 months and 1 year following surgery.

Methods: All consecutive patients presenting to NHS Fife for open hernia repair between January 2009 and January 2010 were included in our analysis. A prospective survey of postoperative pain and activities of daily living was conducted at 6 months and 1 year following hernia repair. Chronic pain was assessed using the SF-36 questionnaire. The primary end points for analysis were incidence of chronic pain and limitation of activities of daily living.

Results: Overall, 132 of 215 patients completed the questionnaire, 69 in the sutured group and 63 in the self-adhesive mesh group. The need for analgesics was similar during the first 24 h after surgery. Wound infections were detected in one patient in the Lichtenstein group and two in the second group. The incidence of chronic pain was 21 and 7.9% at 6 months and 18.8 and 6.3% at 1 year (p < 0.05). Moderate and vigorous activities were found to be limited some to all of the time in nine patients (60%) in the suture fixation group and in one patient in the self-adhesive group (20%, p < 0.02).

Conclusions: Open inguinal hernia repair with a self-adhesive mesh may lead to less chronic pain and less restriction of activities of daily living than a sutured mesh fixation.

Citing Articles

Comprehensive systematic review on the self-gripping mesh vs sutured mesh in inguinal hernia repair.

Singh A, Subramanian A, Toh W, Bhaskaran P, Fatima A, Sajid M Surg Open Sci. 2024; 17:58-64.

PMID: 38293004 PMC: 10826810. DOI: 10.1016/j.sopen.2023.12.010.

Influence of the learning curve on the immediate postoperative pain intensity after laparoscopic inguinal hernioplasty.

Elthes E, Denes M, Neagoe M, Dezsi-Benyovszki A Med Pharm Rep. 2023; 96(3):283-288.

PMID: 37577015 PMC: 10419682. DOI: 10.15386/mpr-2525.

An analysis of results in a single-blinded, prospective randomized controlled trial comparing non-fixating versus self-fixating mesh for laparoscopic inguinal hernia repair.

Denham M, Johnson B, Leong M, Kuchta K, Conaty E, Ujiki M Surg Endosc. 2019; 33(8):2670-2679.

PMID: 30627841 DOI: 10.1007/s00464-018-6555-8.

Is there difference in chronic pain after Suture and Stapler fixation method of mesh in Ventral Hernia? Is stapler fixation method quicker? A randomized controlled trial.

Shaukat N, Jaleel F, Jawaid M, Zulfiqar I Pak J Med Sci. 2018; 34(1):175-178.

PMID: 29643902 PMC: 5857007. DOI: 10.12669/pjms.341.13904.

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature.

Molegraaf M, Lange J, Wijsmuller A Eur Surg Res. 2016; 58(1-2):1-19.

PMID: 27577699 PMC: 5296927. DOI: 10.1159/000448706.

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