Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register

Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative com...

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Veröffentlicht in:Hernia : the journal of hernias and abdominal wall surgery 2023-02, Vol.27 (1), p.21-29
Hauptverfasser: Olsson, A., Sandblom, G., Franneby, U., Sondén, A., Gunnarsson, U., Dahlstrand, U.
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container_issue 1
container_start_page 21
container_title Hernia : the journal of hernias and abdominal wall surgery
container_volume 27
creator Olsson, A.
Sandblom, G.
Franneby, U.
Sondén, A.
Gunnarsson, U.
Dahlstrand, U.
description Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative complications were categorised into hematomas, surgical site infections, seromas, urinary tract complications, and acute post-operative pain. A questionnaire enquiring about groin pain was distributed to all patients 1 year after surgery. Multivariable logistic regression analysis was used to find any association between postoperative complications and reported level of pain 1 year after surgery. Results The response rate was 64.5%. In total 19,773 eligible participants responded to the questionnaire, whereof 73.4% had undergone open anterior mesh repair and 26.6% had undergone endo-laparoscopic mesh repair. Registered postoperative complications were: 750 hematomas (2.3%), 516 surgical site infections (1.6%), 395 seromas (1.2%), 1216 urinary tract complications (3.7%), and 520 hernia repairs with acute post-operative pain (1.6%). Among patients who had undergone open anterior mesh repair, an association between persistent pain and hematomas (OR 2.03, CI 1.30–3.18), surgical site infections (OR 2.18, CI 1.27–3.73) and acute post-operative pain (OR 7.46, CI 4.02–13.87) was seen. Analysis of patients with endo-laparoscopic repair showed an association between persistent pain and acute post-operative pain (OR 9.35, CI 3.18–27.48). Conclusion Acute postoperative pain was a strong predictor for persistent pain following both open anterior and endo-laparoscopic hernia repair. Surgical site infection and hematoma were predictors for persistent pain following open anterior hernia repair, although the rate of reported postoperative complications was low.
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A prospective cohort study from the Swedish Hernia Register</title><source>MEDLINE</source><source>SWEPUB Freely available online</source><source>SpringerLink Journals - AutoHoldings</source><creator>Olsson, A. ; Sandblom, G. ; Franneby, U. ; Sondén, A. ; Gunnarsson, U. ; Dahlstrand, U.</creator><creatorcontrib>Olsson, A. ; Sandblom, G. ; Franneby, U. ; Sondén, A. ; Gunnarsson, U. ; Dahlstrand, U.</creatorcontrib><description>Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative complications were categorised into hematomas, surgical site infections, seromas, urinary tract complications, and acute post-operative pain. A questionnaire enquiring about groin pain was distributed to all patients 1 year after surgery. Multivariable logistic regression analysis was used to find any association between postoperative complications and reported level of pain 1 year after surgery. Results The response rate was 64.5%. In total 19,773 eligible participants responded to the questionnaire, whereof 73.4% had undergone open anterior mesh repair and 26.6% had undergone endo-laparoscopic mesh repair. Registered postoperative complications were: 750 hematomas (2.3%), 516 surgical site infections (1.6%), 395 seromas (1.2%), 1216 urinary tract complications (3.7%), and 520 hernia repairs with acute post-operative pain (1.6%). Among patients who had undergone open anterior mesh repair, an association between persistent pain and hematomas (OR 2.03, CI 1.30–3.18), surgical site infections (OR 2.18, CI 1.27–3.73) and acute post-operative pain (OR 7.46, CI 4.02–13.87) was seen. Analysis of patients with endo-laparoscopic repair showed an association between persistent pain and acute post-operative pain (OR 9.35, CI 3.18–27.48). Conclusion Acute postoperative pain was a strong predictor for persistent pain following both open anterior and endo-laparoscopic hernia repair. Surgical site infection and hematoma were predictors for persistent pain following open anterior hernia repair, although the rate of reported postoperative complications was low.</description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-021-02545-y</identifier><identifier>PMID: 34894341</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Chronic Pain ; Chronic Pain - etiology ; Chronic Pain - surgery ; Cohort analysis ; Complications ; Endometriosis - surgery ; Female ; Groin hernia ; Hematoma ; Hernia ; Hernia, Inguinal - complications ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Humans ; Inguinal hernia ; kirurgi ; Laparoscopy ; Laparoscopy - adverse effects ; Medicin och hälsovetenskap ; Medicine ; Medicine &amp; Public Health ; Original ; Original Article ; Pain ; Pain, Postoperative - epidemiology ; Pain, Postoperative - etiology ; Pain, Postoperative - surgery ; Population studies ; Postoperative ; Postoperative complications ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Prospective Studies ; Questionnaires ; Recurrence ; Seroma - etiology ; Surgery ; Surgical Mesh - adverse effects ; Surgical site infections ; Surgical Wound Infection - surgery ; Sweden - epidemiology ; Urinary tract ; Urogenital system</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2023-02, Vol.27 (1), p.21-29</ispartof><rights>The Author(s) 2021. corrected publication 2023</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. corrected publication 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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A prospective cohort study from the Swedish Hernia Register</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative complications were categorised into hematomas, surgical site infections, seromas, urinary tract complications, and acute post-operative pain. A questionnaire enquiring about groin pain was distributed to all patients 1 year after surgery. Multivariable logistic regression analysis was used to find any association between postoperative complications and reported level of pain 1 year after surgery. Results The response rate was 64.5%. In total 19,773 eligible participants responded to the questionnaire, whereof 73.4% had undergone open anterior mesh repair and 26.6% had undergone endo-laparoscopic mesh repair. Registered postoperative complications were: 750 hematomas (2.3%), 516 surgical site infections (1.6%), 395 seromas (1.2%), 1216 urinary tract complications (3.7%), and 520 hernia repairs with acute post-operative pain (1.6%). Among patients who had undergone open anterior mesh repair, an association between persistent pain and hematomas (OR 2.03, CI 1.30–3.18), surgical site infections (OR 2.18, CI 1.27–3.73) and acute post-operative pain (OR 7.46, CI 4.02–13.87) was seen. Analysis of patients with endo-laparoscopic repair showed an association between persistent pain and acute post-operative pain (OR 9.35, CI 3.18–27.48). Conclusion Acute postoperative pain was a strong predictor for persistent pain following both open anterior and endo-laparoscopic hernia repair. 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A prospective cohort study from the Swedish Hernia Register</title><author>Olsson, A. ; Sandblom, G. ; Franneby, U. ; Sondén, A. ; Gunnarsson, U. ; Dahlstrand, U.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c600t-27ee67ec68663490c47540be0439a9f57e11a44fb5dcf54c73b18e6bbbe6608f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Chronic Pain</topic><topic>Chronic Pain - etiology</topic><topic>Chronic Pain - surgery</topic><topic>Cohort analysis</topic><topic>Complications</topic><topic>Endometriosis - surgery</topic><topic>Female</topic><topic>Groin hernia</topic><topic>Hematoma</topic><topic>Hernia</topic><topic>Hernia, Inguinal - complications</topic><topic>Hernia, Inguinal - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Humans</topic><topic>Inguinal hernia</topic><topic>kirurgi</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Pain, Postoperative - etiology</topic><topic>Pain, Postoperative - surgery</topic><topic>Population studies</topic><topic>Postoperative</topic><topic>Postoperative complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Recurrence</topic><topic>Seroma - etiology</topic><topic>Surgery</topic><topic>Surgical Mesh - adverse effects</topic><topic>Surgical site infections</topic><topic>Surgical Wound Infection - surgery</topic><topic>Sweden - epidemiology</topic><topic>Urinary tract</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olsson, A.</creatorcontrib><creatorcontrib>Sandblom, G.</creatorcontrib><creatorcontrib>Franneby, U.</creatorcontrib><creatorcontrib>Sondén, A.</creatorcontrib><creatorcontrib>Gunnarsson, U.</creatorcontrib><creatorcontrib>Dahlstrand, U.</creatorcontrib><collection>Springer Nature OA Free Journals</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>Immunology Abstracts</collection><collection>Health &amp; 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>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SWEPUB Umeå universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Umeå universitet</collection><collection>SwePub Articles full text</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olsson, A.</au><au>Sandblom, G.</au><au>Franneby, U.</au><au>Sondén, A.</au><au>Gunnarsson, U.</au><au>Dahlstrand, U.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>27</volume><issue>1</issue><spage>21</spage><epage>29</epage><pages>21-29</pages><issn>1248-9204</issn><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose To analyse if postoperative complications constitute a predictor for the risk of developing long-term groin pain. Methods Population-based prospective cohort study of 30,659 patients operated for inguinal hernia 2015–2017 included in the Swedish Hernia Register. Registered post-operative complications were categorised into hematomas, surgical site infections, seromas, urinary tract complications, and acute post-operative pain. A questionnaire enquiring about groin pain was distributed to all patients 1 year after surgery. Multivariable logistic regression analysis was used to find any association between postoperative complications and reported level of pain 1 year after surgery. Results The response rate was 64.5%. In total 19,773 eligible participants responded to the questionnaire, whereof 73.4% had undergone open anterior mesh repair and 26.6% had undergone endo-laparoscopic mesh repair. Registered postoperative complications were: 750 hematomas (2.3%), 516 surgical site infections (1.6%), 395 seromas (1.2%), 1216 urinary tract complications (3.7%), and 520 hernia repairs with acute post-operative pain (1.6%). Among patients who had undergone open anterior mesh repair, an association between persistent pain and hematomas (OR 2.03, CI 1.30–3.18), surgical site infections (OR 2.18, CI 1.27–3.73) and acute post-operative pain (OR 7.46, CI 4.02–13.87) was seen. Analysis of patients with endo-laparoscopic repair showed an association between persistent pain and acute post-operative pain (OR 9.35, CI 3.18–27.48). Conclusion Acute postoperative pain was a strong predictor for persistent pain following both open anterior and endo-laparoscopic hernia repair. Surgical site infection and hematoma were predictors for persistent pain following open anterior hernia repair, although the rate of reported postoperative complications was low.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>34894341</pmid><doi>10.1007/s10029-021-02545-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-7416-4951</orcidid><orcidid>https://orcid.org/0000-0003-3852-7476</orcidid><orcidid>https://orcid.org/0000-0003-3281-0959</orcidid><oa>free_for_read</oa></addata></record>
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1248-9204
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subjects Abdominal Surgery
Chronic Pain
Chronic Pain - etiology
Chronic Pain - surgery
Cohort analysis
Complications
Endometriosis - surgery
Female
Groin hernia
Hematoma
Hernia
Hernia, Inguinal - complications
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - adverse effects
Humans
Inguinal hernia
kirurgi
Laparoscopy
Laparoscopy - adverse effects
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Original
Original Article
Pain
Pain, Postoperative - epidemiology
Pain, Postoperative - etiology
Pain, Postoperative - surgery
Population studies
Postoperative
Postoperative complications
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - surgery
Prospective Studies
Questionnaires
Recurrence
Seroma - etiology
Surgery
Surgical Mesh - adverse effects
Surgical site infections
Surgical Wound Infection - surgery
Sweden - epidemiology
Urinary tract
Urogenital system
title Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register
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