Chronic Pain After Groin Hernia Surgery in Women
02/11/2022 at 3:16 pm #30560Good intentionsParticipant
Here is an interesting abstract/summary of a recent paper. You have to pay to read the whole paper, or try to find it at your local university. In the summary they do not say much at all about the type of repair but they do talk about the “guidelines”. It seems reasonable to assume that most of the repairs were mesh repairs since mesh has taken over essentially all of the hernia repair field.
Published February 2022, so this is “state-of-the-art”. Not really much to be proud of. Almost one of five patients will continue to suffer after they come to the surgeon for help. Yet it continues.
From the Swedish Hernia Register 4021 female and 37,542 male patients operated between September 1, 2012 and August 30, 2017 responded to a patient-reported outcome questionnaire (response rate 70.0%) 1 year after primary groin hernia surgery. Multivariable analysis was performed to compare chronic postoperative pain in women with men as a control group, and to evaluate risk factors for chronic pain in women.
Among women operated for groin hernia, 18% suffered chronic postoperative pain. The risk for chronic pain was significantly higher for women [odds ratio 1.3 (95% confidence interval 1.16–1.46). Three risk factors for chronic pain in women were found: high body mass index, high American Society of Anesthesiologists classification, and femoral hernia. No differences in chronic pain in women were seen when comparing surgical methods or emergency versus elective surgery. “
02/12/2022 at 4:51 am #30566William BryantParticipant
Just don’t get mesh persists. I get thats it’s big business and easy but it’s wrong to callously risk leaving patients in pain when it’s a known consequence… Banned for vaginal for a reason. The problems, pain, difficulty walking etc are same as when used for hernia. Surely it should only be used when essential as there are alternatives which could be (re) learnt.
It doesnt need to be banned outright- as in some cases tissue repair cannot be effected. But restricted with more patient choice.
And the consequences/results of the different types of mesh should be recorded as I was surprised when Dr Towfight or one of her guests said in many cases the choice of mesh is not surgeons but hospitals and they are likely to be governed by economic considerations.
It needs regulating more and used less, imo.
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