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Is young age a risk factor for chronic postoperative inguinal pain after endoscopic totally extraperitoneal (TEP)

W J Bakker1, C V van Hessen2, E J M M Verleisdonk2

  • 1Department of Surgery, Hernia Clinic, Diakonessenhuis, Room: Secretariaat Heelkunde, Professor Lorentzlaan 76, Zeist, 3707 HL, Utrecht, The Netherlands. wbakker1@diakhuis.nl.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 18, 2019
PubMed

Insights

Young adults (18-30) do not have a higher risk of chronic postoperative inguinal pain after endoscopic totally extraperitoneal (TEP) hernia repair compared to older adults. This study found no significant age-dependent risk factors for pain after TEP mesh repair.

Area of Science:

  • Surgical innovation
  • Hernia repair outcomes
  • Pain management

Background:

  • Young age is a known risk factor for chronic postoperative inguinal pain, primarily studied in open hernia repairs.
  • The risk of pain in young adults undergoing endoscopic totally extraperitoneal (TEP) inguinal hernia repair remains less understood.

Purpose of the Study:

  • To investigate if young adults (18-30 years) experience increased chronic postoperative inguinal pain after TEP hernia repair compared to older adults (≥31 years).

Main Methods:

  • A prospective study involving 919 patients undergoing TEP mesh repair.
  • Pain assessment using Numeric Rating Scale, Inguinal Pain Questionnaire, and Carolina Comfort Scale at multiple follow-up points (3 months, 1 year, 2 years).
  • Primary outcome: clinically relevant pain at 3 months; secondary outcomes: long-term pain, impact on daily living, and other pain-related symptoms.

Main Results:

  • No significant difference in clinically relevant pain was observed between young and older adults at 3 months post-TEP repair (p=0.723).
  • Follow-up data from 867 patients showed no significant differences in pain scores or quality of life measures at any time point.
  • Subgroup analyses did not reveal any age-dependent risk factors for postoperative inguinal pain.

Conclusions:

  • Endoscopic TEP hernia repair in young adults is not associated with an elevated risk of chronic postoperative inguinal pain.
  • Age is not a significant risk factor for developing chronic pain after TEP inguinal hernia repair.
Abstract

Keywords:
Chronic painChronic postoperative inguinal painInguinal herniaRisk factorTEPYoung age

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