Chronic pain after inguinal hernia repair in children

被引:40
|
作者
Kristensen, A. D. [1 ,2 ]
Ahlburg, P. [1 ]
Lauridsen, M. C. [3 ]
Jensen, T. S. [2 ]
Nikolajsen, L. [2 ]
机构
[1] Aarhus Univ Hosp, Dept Anaesthesiol, Outpatient Clin, DK-8000 Aarhus C, Denmark
[2] Aarhus Univ Hosp, Danish Pain Res Ctr, DK-8000 Aarhus C, Denmark
[3] Aarhus Univ Hosp, Dept Abdominal Surg, DK-8000 Aarhus C, Denmark
关键词
child; chronic pain; hernia; inguinal; pain; postoperative; POSTOPERATIVE PAIN; POSTSURGICAL PAIN; PERSISTENT PAIN; CHILDHOOD;
D O I
10.1093/bja/aes250
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The prevalence of moderate-to-severe pain after inguinal hernia repair (IHR) in adults is approximate to 10. Two studies with very long follow-up periods (16.8 and 49 yr, respectively) have, however, suggested that the risk of developing chronic pain is much lower in children. The purpose of the present study was to examine the prevalence of chronic pain 648 months after IHR in children. Postal questionnaires were sent to 156 children who had undergone IHR between the age of 6 months and 12 yr. The children were asked to recall the duration of postoperative pain, if necessary with help from their parents, and to describe the intensity and character of their pain, if the pain was still present. Children with chronic pain were offered quantitative sensory testing (QST), and a surgical examination, including ultrasound, in order to exclude hernia recurrence. Ninety-eight children, mean (sd) age 7.8 (2.6) yr, answered the questionnaire. Their age at the time of surgery was mean (sd) 4.6 (2.4) yr, and the follow-up period was mean (sd) 3.2 (1.3) yr. Five children (5.1, 95 confidence interval: 0.759.5) had pain located in the inguinal region, and three of these children underwent further examination. There was no hernia recurrence, but QST revealed pinprick hyperalgesia and decreased pressure pain thresholds on the operated side in all three children. The prevalence of chronic pain after IHR in children is 5.1, which is lower than the prevalence reported after adult hernia repair.
引用
收藏
页码:603 / 608
页数:6
相关论文
共 50 条
  • [1] CHRONIC PAIN AFTER INGUINAL HERNIA REPAIR
    Chandu, Suresh
    [J]. JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2014, 3 (46): : 11217 - 11226
  • [2] Treatment of chronic inguinal pain after repair of inguinal hernia
    Amador Barrameda, Ventura
    Vazquez Melero, Alba
    [J]. REVISTA HISPANOAMERICANA DE HERNIA, 2020, 8 (02) : 77 - 88
  • [3] Chronic pain and discomfort after inguinal hernia repair
    Inaba, Tsuyoshi
    Okinaga, Kota
    Fukushima, Ryoji
    Ikeda, Yoshifumi
    Yamazaki, Eriko
    Koide, Taihei
    Horikawa, Masahiro
    Inoue, Taisuke
    Ogawa, Etsushi
    [J]. SURGERY TODAY, 2012, 42 (09) : 825 - 829
  • [4] Chronic pain and discomfort after inguinal hernia repair
    Tsuyoshi Inaba
    Kota Okinaga
    Ryoji Fukushima
    Yoshifumi Ikeda
    Eriko Yamazaki
    Taihei Koide
    Masahiro Horikawa
    Taisuke Inoue
    Etsushi Ogawa
    [J]. Surgery Today, 2012, 42 : 825 - 829
  • [5] Chronic pain after Kugel inguinal hernia repair
    Hompes, R.
    Vansteenkiste, F.
    Pottel, H.
    Devriendt, D.
    Van Rooy, F.
    [J]. HERNIA, 2008, 12 (02) : 127 - 132
  • [6] Chronic pain after Kugel inguinal hernia repair
    R. Hompes
    F. Vansteenkiste
    H. Pottel
    D. Devriendt
    F. Van Rooy
    [J]. Hernia, 2008, 12 : 127 - 132
  • [7] Chronic pain after open inguinal hernia repair
    Nikkolo, Ceith
    Lepner, Urmas
    [J]. POSTGRADUATE MEDICINE, 2016, 128 (01) : 69 - 75
  • [8] Chronic pain after surgical repair of inguinal hernia
    Mick, G.
    Mergui, C.
    [J]. DOULEUR ET ANALGESIE, 2009, 22 (01): : 44 - 49
  • [9] Surgical management of chronic pain after inguinal hernia repair
    Aasvang, E
    Kehlet, H
    [J]. BRITISH JOURNAL OF SURGERY, 2005, 92 (07) : 795 - 801
  • [10] Predictors of chronic pain after laparoscopic inguinal hernia repair
    Forester, Beau
    Attaar, Mikhail
    Chirayil, Sebastian
    Kuchta, Kristine
    Denham, Woody
    Linn, John G.
    Haggerty, Stephen P.
    Ujiki, Michael
    [J]. SURGERY, 2021, 169 (03) : 586 - 594