Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft ? memory ring patch
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- 作者：J.-F. Gillion (1)
J.-M. Chollet (1) - 关键词：Inguinal hernia ; Mesh repair ; TIPP ; Pre ; peritoneal ; Memory ring patch ; QoL ; Chronic pain
- 刊名：Hernia
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：17
- 期：6
- 页码：683-692
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- 作者单位：J.-F. Gillion (1)
J.-M. Chollet (1)
1. Unité de Chirurgie viscérale et Digestive, H?pital Privé d’Antony, 1, rue Velpeau, 92160, Antony, France - ISSN：1248-9204
文摘
Introduction Little is known about both incidence of chronic pain and quality of life (QoL) after the transinguinal preperitoneal (TIPP) technique using a totally extraperitoneal, parietalized, memory ring patch. Materials and methods Among 622 (428 unilateral and 194 bilateral) hernia repairs (HR) in 525 patients, 92?% had a postoperative clinical control. Thereafter, two sets of postal self-assessed questionnaires were sent. Results A total of 531 HR were studied with a mean follow-up of 17?±?8?months. Only one recurrence was detected. In 151 (28.4?%) HR the patients alleged various symptoms, but in only 10 (1.9?%) HR they considered their discomfort more bothersome than the hernia they had before, and in just 2 (0.4?%) HR they judged their result as bad (one patch removal for sepsis and one for hematoma). Only mild pain (including no painful discomfort such as a foreign body sensation) or moderate pain was frequent. Pain was self-graded as severe in four cases. None of them reported any regular consumption of antalgics. None of them judged their result as bad. Dysesthesia (numbness 19, paresthesia 20) mentioned in 39 HR (7?%), associated with pain in 16 HR, was said to be more bothersome than the hernia treated in just 3 HR (0.6?%). The results of the entire series were self-assessed as good or excellent in 97?% of the HR. Conclusion In our TIPP series, both the incidence of recurrences (0.2?%) and that of severe chronic pain (≤0.7?%) were very low, as well as patients’ QoL was excellent. In our experience, the postoperative course was as painless as that of laparoscopic TEP we had been performing previously, but TIPP appeared more suited to day-case surgery.