Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks
Background Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair...
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Veröffentlicht in: | Surgical endoscopy 2012-04, Vol.26 (4), p.1079-1085 |
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creator | Brügger, Lukas Bloesch, Martina Ipaktchi, Ramin Kurmann, Anita Candinas, Daniel Beldi, Guido |
description | Background
Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair (TAPP) with titanium spiral tacks (STs) compared with tissue adhesive (TA) for mesh fixation.
Methods
Mesh fixation in 80 TAPP procedures was randomized to fixation with ST (
n
= 40) or TA (
n
= 40). The outcome parameters included hypoesthesia assessed with von Frey monofilaments, early postoperative and chronic pain with the visual analog scale (VAS), morbidity (surgical-site infection, hematoma/seroma, relapse of hernia, trocar hernia), and recovery time to normal activity.
Results
Median (range) follow-up was 38 (13–56) months. Demographic and baseline parameters were similar in the two groups. Prevalence of hypoesthesia was significantly higher at all postoperative times in the ST group (6 weeks: 32 vs. 6%; 6 months: 38 vs. 14%; 12 months: 34 vs. 13%; 13–56 months: 32 vs. 4%). Mean hypoesthesia scores over all time points were significantly higher in the ST group. The percentages of regions with hypoesthesia (abdominal, inguinal, or genitofemoral) following all procedures were higher in the ST group after 6 weeks (14 vs. 2%), 6 months (15 vs. 5%), and 13–56 months (22 vs. 4%). The intensity of pain decreased significantly in both groups over time.
Conclusions
Postoperative hypoesthesia depends on the method of mesh fixation during TAPP and is significantly reduced with TA compared with stapling. |
doi_str_mv | 10.1007/s00464-011-2003-8 |
format | Article |
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Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair (TAPP) with titanium spiral tacks (STs) compared with tissue adhesive (TA) for mesh fixation.
Methods
Mesh fixation in 80 TAPP procedures was randomized to fixation with ST (
n
= 40) or TA (
n
= 40). The outcome parameters included hypoesthesia assessed with von Frey monofilaments, early postoperative and chronic pain with the visual analog scale (VAS), morbidity (surgical-site infection, hematoma/seroma, relapse of hernia, trocar hernia), and recovery time to normal activity.
Results
Median (range) follow-up was 38 (13–56) months. Demographic and baseline parameters were similar in the two groups. Prevalence of hypoesthesia was significantly higher at all postoperative times in the ST group (6 weeks: 32 vs. 6%; 6 months: 38 vs. 14%; 12 months: 34 vs. 13%; 13–56 months: 32 vs. 4%). Mean hypoesthesia scores over all time points were significantly higher in the ST group. The percentages of regions with hypoesthesia (abdominal, inguinal, or genitofemoral) following all procedures were higher in the ST group after 6 weeks (14 vs. 2%), 6 months (15 vs. 5%), and 13–56 months (22 vs. 4%). The intensity of pain decreased significantly in both groups over time.
Conclusions
Postoperative hypoesthesia depends on the method of mesh fixation during TAPP and is significantly reduced with TA compared with stapling.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-011-2003-8</identifier><identifier>PMID: 22044970</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adhesives ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chronic pain ; Chronic Pain - etiology ; Cyanoacrylates - adverse effects ; Digestive system. Abdomen ; Endoscopy ; Female ; Gastroenterology ; General aspects ; Gynecology ; Hepatology ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Herniorrhaphy - methods ; Hospitals ; Humans ; Hypesthesia - etiology ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Length of Stay ; Ligaments ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Pain, Postoperative - etiology ; Proctology ; Prospective Studies ; Recurrence ; Surgery ; Surgical Mesh ; Surgical outcomes ; Surgical Stapling - adverse effects ; Surgical techniques ; Tissue Adhesives - adverse effects</subject><ispartof>Surgical endoscopy, 2012-04, Vol.26 (4), p.1079-1085</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2e85b19f02883c7b3161a596b9f355fd91a03b83ccd3634e1dcda6cac058acbc3</citedby><cites>FETCH-LOGICAL-c474t-2e85b19f02883c7b3161a596b9f355fd91a03b83ccd3634e1dcda6cac058acbc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-011-2003-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-011-2003-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25789666$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22044970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brügger, Lukas</creatorcontrib><creatorcontrib>Bloesch, Martina</creatorcontrib><creatorcontrib>Ipaktchi, Ramin</creatorcontrib><creatorcontrib>Kurmann, Anita</creatorcontrib><creatorcontrib>Candinas, Daniel</creatorcontrib><creatorcontrib>Beldi, Guido</creatorcontrib><title>Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair (TAPP) with titanium spiral tacks (STs) compared with tissue adhesive (TA) for mesh fixation.
Methods
Mesh fixation in 80 TAPP procedures was randomized to fixation with ST (
n
= 40) or TA (
n
= 40). The outcome parameters included hypoesthesia assessed with von Frey monofilaments, early postoperative and chronic pain with the visual analog scale (VAS), morbidity (surgical-site infection, hematoma/seroma, relapse of hernia, trocar hernia), and recovery time to normal activity.
Results
Median (range) follow-up was 38 (13–56) months. Demographic and baseline parameters were similar in the two groups. Prevalence of hypoesthesia was significantly higher at all postoperative times in the ST group (6 weeks: 32 vs. 6%; 6 months: 38 vs. 14%; 12 months: 34 vs. 13%; 13–56 months: 32 vs. 4%). Mean hypoesthesia scores over all time points were significantly higher in the ST group. The percentages of regions with hypoesthesia (abdominal, inguinal, or genitofemoral) following all procedures were higher in the ST group after 6 weeks (14 vs. 2%), 6 months (15 vs. 5%), and 13–56 months (22 vs. 4%). The intensity of pain decreased significantly in both groups over time.
Conclusions
Postoperative hypoesthesia depends on the method of mesh fixation during TAPP and is significantly reduced with TA compared with stapling.</description><subject>Abdominal Surgery</subject><subject>Adhesives</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chronic pain</subject><subject>Chronic Pain - etiology</subject><subject>Cyanoacrylates - adverse effects</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>General aspects</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hernia, Inguinal - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Herniorrhaphy - methods</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypesthesia - etiology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Pain, Postoperative - etiology</subject><subject>Proctology</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Surgical outcomes</subject><subject>Surgical Stapling - adverse effects</subject><subject>Surgical techniques</subject><subject>Tissue Adhesives - adverse effects</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1u1DAUhS0EotPCA7BBFlJ3hPovTswOVaUgVeqmrKMb22E8zCTG16k0PAzPiqMMdMXKsu53zv05hLzh7ANnrLlCxpRWFeO8EozJqn1GNlxJUQnB2-dkw4xklWiMOiPniDtWcMPrl-RMCKaUadiG_L7vd97m8Ojp9hgnj3nrMQCF0dEIYaQwZJ9oTjAi9G46hBH2NCYffQp5Gn35bX0awxT3gPn4kUKpThhX0_e0CBfVL-8o5tkdqZ0OEVIYv9McEGdPwS0tywCPPuGMFGNIxTWD_YGvyIsB9uhfn94L8u3zzcP1l-ru_vbr9ae7yqpG5Ur4tu65GZhoW2mbXnLNoTa6N4Os68EZDkz2pWSd1FJ57qwDbcGyugXbW3lB3q2-Zfafc7lCt5vmVFbFzkilJWdcFoivkC0LYvJDF1M4QDp2nHVLIN0aSFcC6ZZAurZo3p6M5_7g3T_F3wQKcHkCAC3sh3IvG_CJq5vWaK0LJ1YO43I8n54m_H_3P7fsp_Y</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Brügger, Lukas</creator><creator>Bloesch, Martina</creator><creator>Ipaktchi, Ramin</creator><creator>Kurmann, Anita</creator><creator>Candinas, Daniel</creator><creator>Beldi, Guido</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20120401</creationdate><title>Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks</title><author>Brügger, Lukas ; Bloesch, Martina ; Ipaktchi, Ramin ; Kurmann, Anita ; Candinas, Daniel ; Beldi, Guido</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2e85b19f02883c7b3161a596b9f355fd91a03b83ccd3634e1dcda6cac058acbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdominal Surgery</topic><topic>Adhesives</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chronic pain</topic><topic>Chronic Pain - etiology</topic><topic>Cyanoacrylates - adverse effects</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>General aspects</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Hernia, Inguinal - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Herniorrhaphy - methods</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypesthesia - etiology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Pain, Postoperative - etiology</topic><topic>Proctology</topic><topic>Prospective Studies</topic><topic>Recurrence</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Surgical outcomes</topic><topic>Surgical Stapling - adverse effects</topic><topic>Surgical techniques</topic><topic>Tissue Adhesives - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brügger, Lukas</creatorcontrib><creatorcontrib>Bloesch, Martina</creatorcontrib><creatorcontrib>Ipaktchi, Ramin</creatorcontrib><creatorcontrib>Kurmann, Anita</creatorcontrib><creatorcontrib>Candinas, Daniel</creatorcontrib><creatorcontrib>Beldi, Guido</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brügger, Lukas</au><au>Bloesch, Martina</au><au>Ipaktchi, Ramin</au><au>Kurmann, Anita</au><au>Candinas, Daniel</au><au>Beldi, Guido</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>26</volume><issue>4</issue><spage>1079</spage><epage>1085</epage><pages>1079-1085</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
Irritation of inguinal nerves with laparoscopic hernia repair may cause chronic neuralgia and hypoesthesia. Hypoesthesia in particular is generally not assessed objectively. We objectively investigated hypoesthesia and chronic pain after transabdominal preperitoneal inguinal hernia repair (TAPP) with titanium spiral tacks (STs) compared with tissue adhesive (TA) for mesh fixation.
Methods
Mesh fixation in 80 TAPP procedures was randomized to fixation with ST (
n
= 40) or TA (
n
= 40). The outcome parameters included hypoesthesia assessed with von Frey monofilaments, early postoperative and chronic pain with the visual analog scale (VAS), morbidity (surgical-site infection, hematoma/seroma, relapse of hernia, trocar hernia), and recovery time to normal activity.
Results
Median (range) follow-up was 38 (13–56) months. Demographic and baseline parameters were similar in the two groups. Prevalence of hypoesthesia was significantly higher at all postoperative times in the ST group (6 weeks: 32 vs. 6%; 6 months: 38 vs. 14%; 12 months: 34 vs. 13%; 13–56 months: 32 vs. 4%). Mean hypoesthesia scores over all time points were significantly higher in the ST group. The percentages of regions with hypoesthesia (abdominal, inguinal, or genitofemoral) following all procedures were higher in the ST group after 6 weeks (14 vs. 2%), 6 months (15 vs. 5%), and 13–56 months (22 vs. 4%). The intensity of pain decreased significantly in both groups over time.
Conclusions
Postoperative hypoesthesia depends on the method of mesh fixation during TAPP and is significantly reduced with TA compared with stapling.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22044970</pmid><doi>10.1007/s00464-011-2003-8</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Springer Nature - Complete Springer Journals |
subjects | Abdominal Surgery Adhesives Adult Aged Aged, 80 and over Biological and medical sciences Chronic pain Chronic Pain - etiology Cyanoacrylates - adverse effects Digestive system. Abdomen Endoscopy Female Gastroenterology General aspects Gynecology Hepatology Hernia, Inguinal - surgery Hernias Herniorrhaphy - adverse effects Herniorrhaphy - methods Hospitals Humans Hypesthesia - etiology Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Length of Stay Ligaments Male Medical sciences Medicine Medicine & Public Health Middle Aged Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Pain, Postoperative - etiology Proctology Prospective Studies Recurrence Surgery Surgical Mesh Surgical outcomes Surgical Stapling - adverse effects Surgical techniques Tissue Adhesives - adverse effects |
title | Objective hypoesthesia and pain after transabdominal preperitoneal hernioplasty: a prospective, randomized study comparing tissue adhesive versus spiral tacks |
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