Reoperation for groin pain after inguinal herniorrhaphy: does it really work?
Abstract Background Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes. Methods A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014. Results Forty-four patients u...
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| Veröffentlicht in: | The American journal of surgery 2016-03, Vol.211 (3), p.637-643 |
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| container_title | The American journal of surgery |
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| creator | Sun, Philip, M.Sc Pandian, T. Kumar, M.D., M.P.H Abdelsattar, Jad M., M.B.B.S Farley, David R., M.D |
| description | Abstract Background Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes. Methods A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014. Results Forty-four patients underwent R4GP; 23% had greater than 1 R4GP. Twenty-three (52%) had hernia recurrence at the time of R4GP. Twenty (45%) underwent nerve resection, and 13 (30%) had mesh removed. Twenty-eight patients completed a telephone survey. Of these, 26 (93%) respondents indicated they experienced pain after their last R4GP for a median duration of 12.5 months. At study completion, 5 patients continued to have debilitating chronic groin pain, 5 had moderate pain, 6 had minimal discomfort, and 12 were pain-free. Twenty-four respondents (86%) would proceed with reoperation(s) again if they could go back in time. Conclusions Although most patients do not experience immediate relief with R4GP, the majority receive some benefit in long-term follow-up. |
| doi_str_mv | 10.1016/j.amjsurg.2015.11.013 |
| format | Article |
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Kumar, M.D., M.P.H ; Abdelsattar, Jad M., M.B.B.S ; Farley, David R., M.D</creator><creatorcontrib>Sun, Philip, M.Sc ; Pandian, T. Kumar, M.D., M.P.H ; Abdelsattar, Jad M., M.B.B.S ; Farley, David R., M.D</creatorcontrib><description>Abstract Background Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes. Methods A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014. Results Forty-four patients underwent R4GP; 23% had greater than 1 R4GP. Twenty-three (52%) had hernia recurrence at the time of R4GP. Twenty (45%) underwent nerve resection, and 13 (30%) had mesh removed. Twenty-eight patients completed a telephone survey. Of these, 26 (93%) respondents indicated they experienced pain after their last R4GP for a median duration of 12.5 months. At study completion, 5 patients continued to have debilitating chronic groin pain, 5 had moderate pain, 6 had minimal discomfort, and 12 were pain-free. Twenty-four respondents (86%) would proceed with reoperation(s) again if they could go back in time. Conclusions Although most patients do not experience immediate relief with R4GP, the majority receive some benefit in long-term follow-up.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2015.11.013</identifier><identifier>PMID: 26792272</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Chronic groin pain ; Chronic Pain ; Female ; Gangrene ; Groin ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - methods ; Humans ; Inguinal hernia ; Inguinal neuralgia ; Laparoscopy ; Male ; Medical records ; Middle Aged ; Neurectomy ; Nonsteroidal anti-inflammatory drugs ; Pain management ; Pain, Postoperative - surgery ; Quality of life ; Recurrence ; Reoperation ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>The American journal of surgery, 2016-03, Vol.211 (3), p.637-643</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-f538fd8750b96b3818e7dd2328adb0b7919970dfc5d56086b8d49a93a6b56d923</citedby><cites>FETCH-LOGICAL-c518t-f538fd8750b96b3818e7dd2328adb0b7919970dfc5d56086b8d49a93a6b56d923</cites><orcidid>0000-0003-4428-6031</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961015300398$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26792272$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Philip, M.Sc</creatorcontrib><creatorcontrib>Pandian, T. Kumar, M.D., M.P.H</creatorcontrib><creatorcontrib>Abdelsattar, Jad M., M.B.B.S</creatorcontrib><creatorcontrib>Farley, David R., M.D</creatorcontrib><title>Reoperation for groin pain after inguinal herniorrhaphy: does it really work?</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes. Methods A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014. Results Forty-four patients underwent R4GP; 23% had greater than 1 R4GP. Twenty-three (52%) had hernia recurrence at the time of R4GP. Twenty (45%) underwent nerve resection, and 13 (30%) had mesh removed. Twenty-eight patients completed a telephone survey. Of these, 26 (93%) respondents indicated they experienced pain after their last R4GP for a median duration of 12.5 months. At study completion, 5 patients continued to have debilitating chronic groin pain, 5 had moderate pain, 6 had minimal discomfort, and 12 were pain-free. Twenty-four respondents (86%) would proceed with reoperation(s) again if they could go back in time. Conclusions Although most patients do not experience immediate relief with R4GP, the majority receive some benefit in long-term follow-up.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic groin pain</subject><subject>Chronic Pain</subject><subject>Female</subject><subject>Gangrene</subject><subject>Groin</subject><subject>Hernia, Inguinal - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Inguinal hernia</subject><subject>Inguinal neuralgia</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical records</subject><subject>Middle Aged</subject><subject>Neurectomy</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Pain management</subject><subject>Pain, Postoperative - surgery</subject><subject>Quality of life</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkV2L1DAUhoMo7uzqT1AK3njTmpNMmsQLF1nWD1gR_LgOaXM6k26n6SatMv_ejDMq7I03CYHnvOF9DiHPgFZAoX7VV3bXpyVuKkZBVAAVBf6ArEBJXYJS_CFZUUpZqWugZ-Q8pT4_Adb8MTljtdSMSbYin75gmDDa2Yex6EIsNjH4sZhsPmw3Yyz8uFn8aIdii3H0Icatnbb714ULmAo_FxHtMOyLnyHeXj4hjzo7JHx6ui_I93fX364-lDef33-8entTtgLUXHaCq84pKWij64YrUCidY5wp6xraSA1aS-q6VjhRU1U3yq211dzWjaidZvyCvDzmTjHcLZhms_OpxWGwI4YlGZC1Ern3Wmb0xT20D0vMfX5TWmjOBc2UOFJtDClF7MwU_c7GvQFqDr5Nb06-zcG3ATDZd557fkpfmh26v1N_BGfg8ghg1vHDYzSp9Ti26HzEdjYu-P9-8eZeQjv40bd2uMU9pn9tTGKGmq-HpR92DoJTyrXivwBknafG</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>Sun, Philip, M.Sc</creator><creator>Pandian, T. Kumar, M.D., M.P.H</creator><creator>Abdelsattar, Jad M., M.B.B.S</creator><creator>Farley, David R., M.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><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>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</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><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4428-6031</orcidid></search><sort><creationdate>20160301</creationdate><title>Reoperation for groin pain after inguinal herniorrhaphy: does it really work?</title><author>Sun, Philip, M.Sc ; Pandian, T. Kumar, M.D., M.P.H ; Abdelsattar, Jad M., M.B.B.S ; Farley, David R., M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-f538fd8750b96b3818e7dd2328adb0b7919970dfc5d56086b8d49a93a6b56d923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic groin pain</topic><topic>Chronic Pain</topic><topic>Female</topic><topic>Gangrene</topic><topic>Groin</topic><topic>Hernia, Inguinal - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Inguinal hernia</topic><topic>Inguinal neuralgia</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical records</topic><topic>Middle Aged</topic><topic>Neurectomy</topic><topic>Nonsteroidal anti-inflammatory drugs</topic><topic>Pain management</topic><topic>Pain, Postoperative - surgery</topic><topic>Quality of life</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Philip, M.Sc</creatorcontrib><creatorcontrib>Pandian, T. Kumar, M.D., M.P.H</creatorcontrib><creatorcontrib>Abdelsattar, Jad M., M.B.B.S</creatorcontrib><creatorcontrib>Farley, David R., M.D</creatorcontrib><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>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</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><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Philip, M.Sc</au><au>Pandian, T. Kumar, M.D., M.P.H</au><au>Abdelsattar, Jad M., M.B.B.S</au><au>Farley, David R., M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reoperation for groin pain after inguinal herniorrhaphy: does it really work?</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>211</volume><issue>3</issue><spage>637</spage><epage>643</epage><pages>637-643</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Abstract Background Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes. Methods A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014. Results Forty-four patients underwent R4GP; 23% had greater than 1 R4GP. Twenty-three (52%) had hernia recurrence at the time of R4GP. Twenty (45%) underwent nerve resection, and 13 (30%) had mesh removed. Twenty-eight patients completed a telephone survey. Of these, 26 (93%) respondents indicated they experienced pain after their last R4GP for a median duration of 12.5 months. At study completion, 5 patients continued to have debilitating chronic groin pain, 5 had moderate pain, 6 had minimal discomfort, and 12 were pain-free. Twenty-four respondents (86%) would proceed with reoperation(s) again if they could go back in time. Conclusions Although most patients do not experience immediate relief with R4GP, the majority receive some benefit in long-term follow-up.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26792272</pmid><doi>10.1016/j.amjsurg.2015.11.013</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4428-6031</orcidid></addata></record> |
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| subjects | Adult Age Aged Aged, 80 and over Chronic groin pain Chronic Pain Female Gangrene Groin Hernia, Inguinal - surgery Hernias Herniorrhaphy - methods Humans Inguinal hernia Inguinal neuralgia Laparoscopy Male Medical records Middle Aged Neurectomy Nonsteroidal anti-inflammatory drugs Pain management Pain, Postoperative - surgery Quality of life Recurrence Reoperation Retrospective Studies Surgery Treatment Outcome |
| title | Reoperation for groin pain after inguinal herniorrhaphy: does it really work? |
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