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Predicting chronic post-operative pain following laparoscopic inguinal hernia repair

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Abstract

Background

Chronic post-operative pain (CPP) following laparoscopic inguinal hernia repair (LIHR) may cause significant morbidity and be more problematic than recurrence. Determining pre-operative risk may reduce morbidity. Our aim was to determine prevalence of CPP following LIHR and identify risk factors for its development.

Methods

Data from patients undergoing LIHR (1996–2004) at one District General Hospital were collected, including demographics, body mass index, pre-operative pain, LIHR type (TEP or TAPP, primary/recurrent, unilateral/bilateral) and post-operative complications including CPP (pain lasting ≥1 year).

Results

A total of 881 patients underwent LIHR (1,029 hernias). Of these, 523 (60%) patients completed the questionnaire, and 72/523 (13.8%) patients experienced CPP. Presence of pre-operative pain (P < 0.001), recurrent LIHR (P = 0.021) and age <50 years (P < 0.001) were significantly correlated with CPP.

Conclusion

Chronic post-operative pain following LIHR is more prevalent than recurrence. Pre-operative pain, surgery for recurrent inguinal hernias (following anterior repair) and younger age at surgery predict development of CPP. Identification of ‘high-risk’ patients may improve management, reducing morbidity and cost.

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Authors and Affiliations

  1. Department of Surgery, Dewsbury and District Hospital, Halifax Road, Dewsbury, WF13 4HS, UK

    K. J. Dickinson, M. Thomas, A. S. Fawole, P. J. Lyndon & C. M. White

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  1. K. J. Dickinson
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  2. M. Thomas
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  3. A. S. Fawole
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  4. P. J. Lyndon
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  5. C. M. White
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Correspondence to C. M. White.

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Dickinson, K.J., Thomas, M., Fawole, A.S. et al. Predicting chronic post-operative pain following laparoscopic inguinal hernia repair. Hernia 12, 597–601 (2008). https://doi.org/10.1007/s10029-008-0408-7

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  • DOI: https://doi.org/10.1007/s10029-008-0408-7

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