Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study

TY - JOUR

T1 - Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias

T2 - a regional cohort study

AU - Christoffersen, Mette W

AU - Helgstrand, Frederik

AU - Rosenberg, Jacob

AU - Kehlet, Henrik

AU - Strandfelt, Pernille

AU - Bisgaard, Thue

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - BACKGROUND: Mesh repair reduces the risk of reoperation for recurrence in patients with primary ventral hernias. However, reoperation for recurrence underestimates total recurrence (reoperation + clinical) and mesh reinforcement may induce chronic pain. This study investigated the total recurrence and risk of chronic pain in small primary ventral hernias.METHODS: A cohort study with questionnaire and clinical follow-up was conducted. Patients with primary, elective, open mesh or sutured repair for a small umbilical or epigastric hernia (≤ 2 cm) were included.RESULTS: One thousand three hundred thirteen patients completed the questionnaire. The total cumulated recurrence rate after primary repair was 10% for mesh repair and 21% for sutured repair (P = .001). The incidence of chronic pain was 6% after mesh repair and 5% after sutured repair (P = .711).CONCLUSIONS: Mesh repair halved long-term risk of recurrence after repair for small ventral hernias without increased risk of chronic pain.

AB - BACKGROUND: Mesh repair reduces the risk of reoperation for recurrence in patients with primary ventral hernias. However, reoperation for recurrence underestimates total recurrence (reoperation + clinical) and mesh reinforcement may induce chronic pain. This study investigated the total recurrence and risk of chronic pain in small primary ventral hernias.METHODS: A cohort study with questionnaire and clinical follow-up was conducted. Patients with primary, elective, open mesh or sutured repair for a small umbilical or epigastric hernia (≤ 2 cm) were included.RESULTS: One thousand three hundred thirteen patients completed the questionnaire. The total cumulated recurrence rate after primary repair was 10% for mesh repair and 21% for sutured repair (P = .001). The incidence of chronic pain was 6% after mesh repair and 5% after sutured repair (P = .711).CONCLUSIONS: Mesh repair halved long-term risk of recurrence after repair for small ventral hernias without increased risk of chronic pain.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Chronic Pain

KW - Cohort Studies

KW - Female

KW - Hernia, Umbilical

KW - Hernia, Ventral

KW - Herniorrhaphy

KW - Humans

KW - Male

KW - Middle Aged

KW - Recurrence

KW - Risk Assessment

KW - Surveys and Questionnaires

KW - Time Factors

KW - Young Adult

U2 - 10.1016/j.amjsurg.2014.05.021

DO - 10.1016/j.amjsurg.2014.05.021

M3 - Journal article

C2 - 25172168

SN - 0002-9610

VL - 209

SP - 725

EP - 732

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 4

ER -