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Functional implications of long-term pain following outpatient inguinal herniorrhaphy--a prospective evaluation
Andrew J Russ1, Lee D Faucher, Debra B Gordon
1Department of Surgery, University of Wisconsin Hospital, Madison, Wisconsin 53792, USA. aruss@uwhealth.org
Background:
The purpose of the present study is to assess pain and functional outcomes at 1 y following inguinal herniorrhaphy in which patients were randomized to receive a continuous wound infusion of bupivacaine to receiving a saline infusion.
Methods:
Patients received saline or bupivacaine prior to incision and then for 60 h postoperatively. The incidence, severity, and functional interference of pain were assessed for five postoperative days, and at 1 y.
Results:
Seventy patients completed a survey 1 y following herniorrhaphy. Four percent (3/72) of patients were in moderate to severe pain "almost always" or "often". Twenty-one percent (15/72) of patients experienced pain with ambulation. There was no difference between groups at 1 y.
Conclusions:
The incidence of moderate or severe pain is concerning 1 y following surgery. Functional aberrations associated with pain should be assessed in all studies evaluating long-term pain after herniorrhaphy.
