Significant factors influencing chronic postoperative inguinal pain: A conditional time-dependent observational cohort study

医学 腹股沟疝 病因学 外科 队列 自然史 队列研究 回顾性队列研究 观察研究 内科学
作者
Matthijs L. Van den Dop,F. P. J. den Hartog,Dimitri Sneiders,Gert‐Jan Kleinrensink,J.F. Lange,J.‐F. Gillion
出处
期刊:International Journal of Surgery [Wolters Kluwer]
卷期号:105: 106837-106837 被引量:7
标识
DOI:10.1016/j.ijsu.2022.106837
摘要

Inguinal hernia (IH) repair is a common surgical procedure. Focus has shifted from recurrences to chronic postoperative inguinal pain (CPIP). To assess the natural course of CPIP and identify patient factors influencing the onset of CPIP, an observational registry-based study was performed.Data prospectively collected from the Club-Hernie national database was retrieved from 2011 until 2021. Patients who underwent elective surgery for inguinal hernia were divided in an irrelevant pain group and relevant pain group. Relevant pain at one year and two years were compared with patients with irrelevant pain at all-time points (preoperatively, one month, one year and two years). Quality of life questions were compared between relevant pain at one year and two years.4.016 patients were included in the analysis. Mean age was 65.1 years, 90.3% of patients was male. Factors correlated with CPIP onset were age, gender, ASA, recurrent surgery, surgical technique, nerve handling and fixation type. Relevant pain at one month was a greater risk for CPIP than preoperative pain (12.3% vs 3.6%). In the majority of patients (83.2%) CPIP was ameliorated at two years. Hernia related complaints differed significantly between CPIP at one year and two years.Postoperative pain after one month was a greater risk factor for CPIP development than preoperative pain. CPIP at one year seems to have a different pain etiology than CPIP at two years. Patient and surgical factors influence the onset of CPIP at one year, however the natural course of these complaints shows great decline at two years, largely without reinterventions.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
林岚完成签到,获得积分10
刚刚
34882738完成签到 ,获得积分10
刚刚
刚刚
曲小晴完成签到,获得积分10
刚刚
luria完成签到,获得积分10
1秒前
SherlockHe发布了新的文献求助10
1秒前
田园完成签到,获得积分10
2秒前
fireking_sid发布了新的文献求助10
2秒前
zhangruiii完成签到 ,获得积分10
2秒前
田田完成签到,获得积分10
2秒前
2秒前
Nemo1234完成签到,获得积分10
3秒前
包容友儿完成签到,获得积分10
4秒前
4秒前
荡乎宇宙如虚舟完成签到,获得积分10
4秒前
5秒前
6秒前
顺顺利利完成签到,获得积分10
6秒前
6秒前
6秒前
6秒前
海人完成签到 ,获得积分10
7秒前
fireking_sid完成签到,获得积分10
7秒前
科研通AI5应助hhh采纳,获得10
8秒前
11发布了新的文献求助10
8秒前
9秒前
俗丨发布了新的文献求助10
9秒前
Murphy完成签到 ,获得积分10
10秒前
大胆胡萝卜完成签到,获得积分10
10秒前
细腻的歌曲完成签到,获得积分10
11秒前
11秒前
aam完成签到,获得积分10
11秒前
超级无敌奥特大王完成签到,获得积分10
11秒前
XJY完成签到,获得积分10
11秒前
猪猪侠有腹肌了完成签到,获得积分20
12秒前
Sw完成签到,获得积分10
12秒前
思源应助爱撒娇的紫菜采纳,获得10
12秒前
12秒前
Jessica完成签到 ,获得积分10
13秒前
Amy发布了新的文献求助10
13秒前
高分求助中
Nickel, Cobalt and Palladium Catalysed Infarction with Ventricular following rich structural diversity 1000
A new approach to the extrapolation of accelerated life test data 1000
Cognitive Neuroscience: The Biology of the Mind 1000
Technical Brochure TB 814: LPIT applications in HV gas insulated switchgear 1000
Immigrant Incorporation in East Asian Democracies 600
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3968608
求助须知:如何正确求助?哪些是违规求助? 3513486
关于积分的说明 11168243
捐赠科研通 3248926
什么是DOI,文献DOI怎么找? 1794540
邀请新用户注册赠送积分活动 875188
科研通“疑难数据库(出版商)”最低求助积分说明 804676