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Outcome of patients with severe chronic pain following repair of groin hernia.
Br J Surg. 2002 Oct; 89(10):1310-4.BJ

Abstract

BACKGROUND

Chronic pain is the most serious long-term complication that can occur after repair of a groin hernia. The aim of this study was to assess the outcome of patients who report severe or very severe pain 3 months after groin hernia repair.

METHODS

This was a population-based study of all patients who underwent repair of a groin hernia between April 1998 and March 1999 in Scotland. All received a postal questionnaire 3 months after hernia repair and those who reported severe or very severe pain at the operation site were asked to complete a further questionnaire 2.5 years later. The main outcome measure included the number of patients with persistent pain and the effect of pain on daily activities and quality of life.

RESULTS

Of 5506 patients who underwent repair of a groin hernia, 4062 (74 per cent) returned the first questionnaire and 125 (3 per cent) reported severe or very severe pain. Eight-six (72 per cent) of 120 patients (five had died or could not be contacted at the original address) replied to the second questionnaire; 61 (71 per cent) still reported pain, which was severe or very severe pain in 22 (26 per cent) and mild or very mild in 39 (45 per cent). Twenty-nine (48 per cent) sought further medical help from their general practitioner or surgeon. Nine (15 per cent) attended a pain clinic while five (8 per cent) had further surgery. Chronic pain had significant effects (P < 0.001) on all daily activities including walking, work, sleep, relationships with other people, mood and general enjoyment of life.

CONCLUSION

Chronic pain persists in most patients who report severe or very severe pain at 3 months after hernia repair, and has a significant effect on the patients' daily activities and quality of life.

Authors+Show Affiliations

University Department of Surgery, Western Infirmary, Glasgow G11 6NT, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12296903

Citation

Courtney, C A., et al. "Outcome of Patients With Severe Chronic Pain Following Repair of Groin Hernia." The British Journal of Surgery, vol. 89, no. 10, 2002, pp. 1310-4.
Courtney CA, Duffy K, Serpell MG, et al. Outcome of patients with severe chronic pain following repair of groin hernia. Br J Surg. 2002;89(10):1310-4.
Courtney, C. A., Duffy, K., Serpell, M. G., & O'Dwyer, P. J. (2002). Outcome of patients with severe chronic pain following repair of groin hernia. The British Journal of Surgery, 89(10), 1310-4.
Courtney CA, et al. Outcome of Patients With Severe Chronic Pain Following Repair of Groin Hernia. Br J Surg. 2002;89(10):1310-4. PubMed PMID: 12296903.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of patients with severe chronic pain following repair of groin hernia. AU - Courtney,C A, AU - Duffy,K, AU - Serpell,M G, AU - O'Dwyer,P J, PY - 2002/9/26/pubmed PY - 2002/11/26/medline PY - 2002/9/26/entrez SP - 1310 EP - 4 JF - The British journal of surgery JO - Br J Surg VL - 89 IS - 10 N2 - BACKGROUND: Chronic pain is the most serious long-term complication that can occur after repair of a groin hernia. The aim of this study was to assess the outcome of patients who report severe or very severe pain 3 months after groin hernia repair. METHODS: This was a population-based study of all patients who underwent repair of a groin hernia between April 1998 and March 1999 in Scotland. All received a postal questionnaire 3 months after hernia repair and those who reported severe or very severe pain at the operation site were asked to complete a further questionnaire 2.5 years later. The main outcome measure included the number of patients with persistent pain and the effect of pain on daily activities and quality of life. RESULTS: Of 5506 patients who underwent repair of a groin hernia, 4062 (74 per cent) returned the first questionnaire and 125 (3 per cent) reported severe or very severe pain. Eight-six (72 per cent) of 120 patients (five had died or could not be contacted at the original address) replied to the second questionnaire; 61 (71 per cent) still reported pain, which was severe or very severe pain in 22 (26 per cent) and mild or very mild in 39 (45 per cent). Twenty-nine (48 per cent) sought further medical help from their general practitioner or surgeon. Nine (15 per cent) attended a pain clinic while five (8 per cent) had further surgery. Chronic pain had significant effects (P < 0.001) on all daily activities including walking, work, sleep, relationships with other people, mood and general enjoyment of life. CONCLUSION: Chronic pain persists in most patients who report severe or very severe pain at 3 months after hernia repair, and has a significant effect on the patients' daily activities and quality of life. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/12296903/Outcome_of_patients_with_severe_chronic_pain_following_repair_of_groin_hernia_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0007-1323&amp;date=2002&amp;volume=89&amp;issue=10&amp;spage=1310 DB - PRIME DP - Unbound Medicine ER -