1. Factors Associated with Postoperative Chronic Pain and Recurrence After Laparoscopic Total Extraperitoneal Inguinal Hernia Repair
- Author
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Naciye Cigdem Arslan, Yasar Ozdenkaya, Oktay Olmuscelik, and Pelin Basim
- Subjects
medicine.medical_specialty ,Total Extraperitoneal Repair ,Hernia Repair ,business.industry ,lcsh:R ,Chronic pain ,lcsh:Medicine ,medicine.disease ,Inguinal Hernia ,Surgery ,Inguinal hernia ,Groin Hernia ,medicine ,Laparoscopy ,business - Abstract
Objective: To assess the risk factors for chronic pain and recurrence after laparoscopic total extraperitoneal (TEP) inguinal hernia repair. Methods: Data of the patients who underwent laparoscopic TEP repair were analyzed. Clinical and surgical characteristics, including learning curve, mesh weight, the pore size of the mesh, use of mesh fixation, and fixation methods, were assessed. Fixation by absorbable or nonabsorbable tackers was performed in all procedures except for self-fixating meshes. Mesh brands were tiered into groups regarding pore size and weight. Operative time was defined as the duration between skin incision and dressing. The minimum follow-up was 24 months. Postoperative chronic pain was defined as moderate to severe groin pain, which was accepted as a Visual Analog score ≥3 longer than three months. Pain and recurrence were evaluated at 1 and 6 weeks in clinic visits and at 3, 12, and 24 months by telephone questionnaires. The occurrence of a fascial defect in physical examination or ultrasound was defined as recurrence. Results: Three-hundred and eighty-two procedures were included. Postoperative chronic pain was seen in 31 (8.1%) patients and was higher with micropore mesh (p=0.004), mesh fixation (p=0.002), fixation with titanium tacks (p more...
- Published
- 2020
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