Skip to main content

Advertisement

SpringerLink
Log in

Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: Chronic groin pain after open inguinal hernia repair is a common long-term morbidity, but its incidence after endoscopic totally extraperitoneal inguinal hernioplasty (TEP) has not been studied in detail. The objective of this study was to evaluate the prevalence and severity of chronic groin pain after TEP. Methods: Between June 1999 and September 2001, 313 consecutive patients who underwent TEP at our institution were recruited. To evaluate the incidence and severity of chronic pain, a cross-sectional telephone survey using a standardized questionnaire was conducted by a research assistant. Clinical data between the chronic pain group and the pain-free group were compared to identify any clinical factors that had a significant association with the subsequent development of chronic groin pain. Results: The prevalence of chronic groin pain was 9.2% (n = 24). The severity of the pain was mild (n = 18), moderate (n = 5), or severe (n = 1). In more than half of the patients, the groin pain occurred less often than once a month and its duration did not exceed 1 min. Only one patient reported an impairment of functional activities as a result of the pain. Multivariate analyses identified a significant association between a high postoperative pain score on coughing on postoperative day 6 and the subsequent development of groin pain. Conclusions: The prevalence of chronic groin pain in patients after TEP was low. The pain was mostly mild and transient without associated sensory symptoms. The occurrence of pain had a negligible impact on daily activities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. P Aeberhard C Klaiber A Meyenberg A Osterwalder J Tschudi (1999) ArticleTitleProspective audit of laparoscopic totally extraperitoneal inguinal hernia repair: a multicenter study of the Swiss Association for Laparoscopic and Thoracoscopic Surgery (SALTC). S Endosc 13 1115–1120 Occurrence Handle10.1007/s004649901185 Occurrence Handle1:STN:280:DC%2BD3c%2FivVCitg%3D%3D

    Article  CAS  Google Scholar 

  2. M Bay-Nielsen FM Perkins H Kehlet (2001) ArticleTitlePain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233 1–7 Occurrence Handle1:STN:280:DC%2BD3M3pvFCksw%3D%3D Occurrence Handle11141218

    CAS  PubMed  Google Scholar 

  3. T Callesen K Bach K Kehlet (1999) ArticleTitleProspective study of chronic pain after groin hernia repair. Br J Surg 86 1528–1531 Occurrence Handle10.1046/j.1365-2168.1999.01320.x Occurrence Handle10594500

    Article  PubMed  Google Scholar 

  4. RE Condon (2001) ArticleTitleGroin pain after hernia repair. Ann Surg 233 8 Occurrence Handle1:STN:280:DC%2BD3MzltlWqtw%3D%3D Occurrence Handle11141217

    CAS  PubMed  Google Scholar 

  5. CA Courtney K Duffy MG Serpell PJ O’Dwyer (2002) ArticleTitleOutcome of patients with severe groin pain following repair of groin hernia. Br J Surg 89 1310–1314 Occurrence Handle10.1046/j.1365-2168.2002.02206.x Occurrence Handle1:STN:280:DC%2BD38vos1GjsA%3D%3D Occurrence Handle12296903

    Article  CAS  PubMed  Google Scholar 

  6. J Cunningham WJ Temple P Mitchell JA Nixon RM Preshaw NA Hagen (1996) ArticleTitleCooperative hernia study: pain in the postrepair patient. Ann Surg 224 598–602 Occurrence Handle10.1097/00000658-199611000-00003 Occurrence Handle8916874

    Article  PubMed  Google Scholar 

  7. JF Gillion PL Fagniez (1999) ArticleTitleChronic pain and cutaneous sensory changes after inguinal hernia repair: comparison between open and laparoscopic techniques. Hernia 3 75–80

    Google Scholar 

  8. H Lau NG Patil F Lee WK Yuen (2002) ArticleTitleA prospective trial of analgesia following endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: local wound infiltration versus extraperitoneal instillation of bupivacaine. Surg Endosc 16 159–162 Occurrence Handle10.1007/s00464-001-8106-x Occurrence Handle1:STN:280:DC%2BD383isFGjtA%3D%3D Occurrence Handle11961629

    Article  CAS  PubMed  Google Scholar 

  9. AS Poobalan J Bruce PM King WA Chambers ZH Krukowski WC Smith (2001) ArticleTitleChronic pain and quality of life following open inguinal hernia repair. Br J Surg 88 1122–1126 Occurrence Handle1:STN:280:DC%2BD3MvktlWgtg%3D%3D Occurrence Handle11488800

    CAS  PubMed  Google Scholar 

  10. RJ Rosenberger H Loeweneck G Meyer (2000) ArticleTitleThe cutaneous nerves encountered during laparoscopic repair of inguinal hernia: new anatomical findings for the surgeon. Surg Endosc 14 731–735 Occurrence Handle1:STN:280:DC%2BD3cvpvVCksQ%3D%3D Occurrence Handle10954819

    CAS  PubMed  Google Scholar 

  11. P Sampath CJ Yeo JN Campbell (1995) ArticleTitleNerve injury associated with laparoscopic inguinal herniorrhaphy. Surgery 118 829–833 Occurrence Handle1:STN:280:BymD28jltVI%3D Occurrence Handle7482269

    CAS  PubMed  Google Scholar 

  12. AS Seid E Amos (1994) ArticleTitleEntrapment neuropathy in laparoscopic herniorrhaphy. Surg Endosc 8 1050–1053 Occurrence Handle1:STN:280:ByqD1cvivFU%3D Occurrence Handle7992173

    CAS  PubMed  Google Scholar 

  13. W Silen (2002) ArticleTitleChronic pain and quality of life following open inguinal hernia repair. Br J Surg 89 123 Occurrence Handle1:STN:280:DC%2BD387hs1Cjsg%3D%3D

    CAS  Google Scholar 

  14. E Stark K Oestreich K Wendl B Rumstadt E Hagmuller (1999) ArticleTitleNerve irritation after laparoscopic hernia repair. Surg Endosc 13 878–881 Occurrence Handle1:STN:280:DyaK1MzotVKmtw%3D%3D Occurrence Handle10449843

    CAS  PubMed  Google Scholar 

  15. InstitutionalAuthorNameThe EU Hernia Trialists Collaboration (2002) ArticleTitleRepair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg 235 322–332 Occurrence Handle10.1097/00000658-200203000-00003 Occurrence Handle11882753

    Article  PubMed  Google Scholar 

  16. InstitutionalAuthorNameThe MRC Laparoscopic Groin Hernia Trial Group (1999) ArticleTitleLaparoscopic versus open repair of groin hernia: a randomized comparison. Lancet 354 185–190 Occurrence Handle10421299

    PubMed  Google Scholar 

  17. GE Wantz (1993) ArticleTitleTesticular atrophy and chronic residual neuralgia as risks of inguinal hernioplasty. Surg Clin North Am 73 571–581 Occurrence Handle1:STN:280:ByyB28bhs1w%3D Occurrence Handle8497804

    CAS  PubMed  Google Scholar 

  18. D Wright C Paterson N Scott A Hair PJ O’Dwyer (2002) ArticleTitleFive-year follow-up of patients undergoing laparoscopic or open groin hernia repair: a randomized controlled trial. Ann Surg 235 333–337 Occurrence Handle10.1097/00000658-200203000-00004 Occurrence Handle11882754

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We acknowledge the kind assistance of Tze-Ching Tan, MD, in the editing of the manuscript.

Author information

Authors and Affiliations

  1. Department of Surgery, University of Hong Kong Medical Center, Tung Wah Hospital, 12 Po Yan Street, Sheung Wan, Hong Kong

    H. Lau, N. G. Patil, W. K. Yuen & F. Lee

Authors
  1. H. Lau
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. G. Patil
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. W. K. Yuen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H. Lau.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lau, H., Patil, N., Yuen, W. et al. Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty . Surg Endosc 17, 1620–1623 (2003). https://doi.org/10.1007/s00464-002-8798-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-8798-6

Keywords

Search

Navigation