Sutureless fixation with fibrin glue of lightweight mesh in open inguinal hernia repair: Effect on postoperative pain: A double-blind, randomized trial versus standard heavyweight mesh

Surgery ◽  
2013 ◽  
Vol 153 (1) ◽  
pp. 126-130 ◽  
Author(s):  
Silvestro Canonico ◽  
Raffaella Benevento ◽  
Giuseppe Perna ◽  
Raffaella Guerniero ◽  
Guido Sciaudone ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Randomized Trial ◽  
Inguinal Hernia Repair ◽  
Fibrin Glue ◽  
Lightweight Mesh ◽  
Double Blind ◽  
Heavyweight Mesh ◽  
Open Inguinal Hernia Repair

scholarly journals O41 PREDICTORS OF LOW QUALITY AFTER OPEN INGUINAL HERNIA REPAIR USING THE EURAHS-QOL SCORE: PROSPECTIVE MULTICENTRIC COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joana Simoes ◽  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Absorbable Mesh ◽  
Open Inguinal Hernia Repair

Abstract Aim Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to identify predictors of low Quality of Life (QoL) after open inguinal hernia repair, to guide practice and inform patients at high risk. Material and Methods Prospective multicentric cohort study including consecutive patients undergoing elective open inguinal hernia repair in Portuguese hospitals (October-December 2019). The primary outcome was Quality of Life at 3 months after surgery, using the EuraHS-QoL score (higher score correlates with lower QoL). Low QoL was defined as the higher EuraHS-QoL score tertile and multivariate logistic regression was used to identify predictors. Results 893 patients were included from 33 hospitals. The majority were men (89.9% [800/891]), had unilateral hernias 88.7% (774/872) and the most common surgical technique was Lichtenstein’s repair (52.9% [472/893]). The median QoL score was 24 (IQR 10-40) before surgery and 2 (IQR 0-10) at 3 months after surgery, showing significant improvement (p < 0.001). After adjustment, low QoL at 3 months was associated with low preoperative QoL (OR 1.76, 95% CI 1.21-2.57, p = 0.003), non-absorbable mesh fixation (OR 1.64, 95% CI 1.12-2.41, p = 0.011), severe immediate postoperative pain (OR 2.90, 95% CI 1.66-5.11, p < 0.001) and minor postoperative complications (OR 2.23, 95% CI 1.30-3.84, p = 0.004). Conclusions This study supports the use of the EuraHS-QoL score preoperatively to inform consent. Although significant improvement in QoL is expected after surgery, high scores before surgery are associated with low postoperative QoL. Caution should be taken with non-absorbable mesh fixation and immediate postoperative pain control should be optimised.

scholarly journals Efficacy And Safety Of 5% Lidocaine Patches For Postoperative Pain Management In Patients Undergoing Unilateral Inguinal Hernia Repair: Study Protocol For A Prospective, Double-Blind, Randomized, Controlled Clinical Trial

2021 ◽  
Author(s):  
Hong-min Ahn ◽  
Heung-Kwon Oh ◽  
Duck-Woo Kim ◽  
Sung-Bum Kang ◽  
Bon-Wook Koo ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pain Management ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Postoperative Pain Management ◽  
Day Surgery ◽  
Controlled Clinical Trial ◽  
Double Blind ◽  
Unilateral Inguinal Hernia

Abstract Background: Acute postoperative pain is a common complication of inguinal hernia repair. Pain management using local application of anesthetic agents over the skin surrounding the surgical incision may reduce the requirement for other pain medications. Targeted topical analgesics such as 5% lidocaine patches have been known to improve acute and chronic pain. However, the clinical effect of lidocaine patches on postoperative pain after inguinal hernia repair has not been studied, especially in patients undergoing surgery at day surgery units.Methods/design: This is a single-center, prospective, double-blind, randomized, controlled clinical trial. Participants with unilateral inguinal hernia will be randomized to the lidocaine patch group or the placebo patch group. Based on the randomized allocation sequence, either lidocaine patches or placebo patches will be attached near each participant’s surgical wound after open hernia repair under general anesthesia. Participants will be asked to follow-up at our outpatient clinic on the first postoperative day and at one week after surgery. The primary outcome is pain intensity, which will be measured using the Visual Analogue Scale (VAS) at the time of discharge from the day surgery unit. The secondary outcomes are VAS score at 24 hours and one week after surgery. We will collect and analyze the participants’ clinical data (amount of intraoperative opioid use, time to recovery, and pain intensity at 30 min after surgery) and demographic characteristics (age, sex, body weight, and height).Discussion: This trial may not only provide evidence on the efficacy of a 5% lidocaine patch for acute postoperative pain management after unilateral inguinal hernia repair, but also demonstrate the efficacy and safety of the patch for post-discharge pain management.Trial registration: ClinicalTrials.gov: NCT04754451 (registered on February 10, 2021). https://clinicaltrials.gov/ct2/show/NCT04754451

Meta-Analysis of Randomized Controlled Trials Comparing Lightweight and Heavyweight Mesh for Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

2019 ◽  
Vol 85 (6) ◽  
pp. 620-624 ◽  
Author(s):  
Ming Xu ◽  
Song Xu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Randomized Controlled Trials ◽  
Inguinal Hernia Repair ◽  
Cochrane Library ◽  
Lightweight Mesh ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Total Extraperitoneal ◽  
Heavyweight Mesh

The aim of this study was to compare the outcomes of lightweight and heavyweight mesh on postoperative recovery in laparoscopic total extraperitoneal (TEP) inguinal hernia repair. PubMed, Embase, Science Citation Index, and the Cochrane Library were used to search for published clinical randomized controlled trials, which compared lightweight meshes with heavyweight meshes in TEP inguinal hernia repair. The outcomes were calculated as risk ratios with 95 per cent confidence intervals using RevMan 5.2. Eight randomized controlled trials were included. Compared with a heavyweight mesh, the lightweight mesh led to a higher incidence of recurrence (risk ratio = 2.52, 95% confidence interval 1.10–5.81; P = 0.03). There was no significant difference in chronic moderate to severe pain, foreign body sensation, and seroma. The use of lightweight mesh is not recommended for TEP inguinal hernia repair.

Heavyweight Mesh Is Superior to Lightweight Mesh in Laparo-Endoscopic Inguinal Hernia Repair

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Wouter J. Bakker ◽  
Theo J. Aufenacker ◽  
Julitta S. Boschman ◽  
Josephina P. J. Burgmans
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Lightweight Mesh ◽  
Heavyweight Mesh
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