Faculty of Medicine, The University of British Columbia, 317 - 2194 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Department of Surgery, Saanich Peninsula Hospital, 2166 Mt Newton X Rd, Saanichton, BC, V8M 2B2, Canada.
Hernia. 2023 Feb;27(1):71-76. doi: 10.1007/s10029-022-02701-y. Epub 2022 Nov 5.
Elective inguinal hernia repair is a ubiquitous procedure that carries risks; chronic pain and impacts on quality of life (QoL) must be considered when advising patients around repair. The length of time from surgery date and impacts on quality of life are often limited to only a few years of follow-up and despite hernia repair being quite common, long-term outcomes are not often reported.
A cohort of patients who had received Lichtenstein inguinal hernia repair over the previous 10 years were contacted and surveyed using the Brief Pain Inventory Short Form (BPI) to assess chronic pain and its effects on their QoL. Patient and operative factors were correlated with pain through linear regression and t-test analysis provided statistical significance for mean comparisons (P < 0.05).
The rate of chronic pain was 17.2% with recurrence of 3.1% at an average post-operative interval of 5.84 years. Of the various metrics compared between groups, age was one of the only significant predictors of chronic pain with younger patients reporting higher pain. Further time from surgery also translated to significantly less pain with a difference of 1.3 years. BPI respondents identified pain that interfered to varying degrees in different aspects of life but had relatively low average magnitudes (range: 1.82/10-2.91/10).
These long-term considerations of post-surgical impact should be considered alongside potential benefits when advising patients about surgery and may help moderate post-operative expectations to optimize the outcome of common inguinal hernia repairs.
择期腹股沟疝修补术是一种普遍存在的手术，存在一定风险；在向患者提供修复建议时，必须考虑慢性疼痛及其对生活质量（QoL）的影响。从手术日期到对生活质量的影响的时间长度通常仅限于几年的随访，尽管疝修补术相当常见，但很少报告长期结果。
联系了过去 10 年接受过 Lichtenstein 腹股沟疝修补术的患者队列，并使用简短疼痛量表（BPI）对他们进行调查，以评估慢性疼痛及其对 QoL 的影响。通过线性回归和 t 检验分析将患者和手术因素与疼痛相关联，提供了均值比较的统计学意义（P<0.05）。
慢性疼痛的发生率为 17.2%，平均术后间隔 5.84 年的复发率为 3.1%。在各组之间比较的各种指标中，年龄是慢性疼痛的唯一显著预测因素，年轻患者报告的疼痛更高。进一步从手术时间也转化为显著减少疼痛，差异为 1.3 年。BPI 受访者确定疼痛在生活的不同方面以不同程度干扰，但平均幅度相对较低（范围：1.82/10-2.91/10）。
在向患者提供手术建议时，应考虑这些术后影响的长期考虑因素，并可能有助于适度术后期望，以优化常见腹股沟疝修复的结果。
