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  • German Pain Study cited in Dr Chen Lichtenstein talk

    Posted by David M on August 13, 2023 at 9:55 am

    in the following video, at just past the 12 minute mark, Dr Chen cited a german registry study which compared pain rates for Lichtenstein vs TEP, vs Tapp, and Tep vs Tapp.

    https://www.youtube.com/watch?v=-ZXNPWVUmIQ

    that abstract can be found :

    https://journals.lww.com/annalsofsurgery/Abstract/2019/02000/Lichtenstein_Versus_Total_Extraperitoneal_Patch.26.aspx

    “1-year follow up from the Herniamed Registry were selected between September 1, 2009 and February 1, 2015”

    the results for pain in paired matching were:
    Lichtenstein Vs Tep – 12564 matched pairs
    Lichtenstein vs Tep pain at rest – 5.2% vs 4.3%
    Lichtenstein vs Tep pain on exertion – 10.6% vs 7.7%

    Lichtenstein vs Tapp – 16375 matched pairs
    Lichtenstein vs Tapp pain at rest – 5% vs 4.5%
    Lichtenstein vs Tapp pain on exertion – 10.2% vs 7.8%

    • This discussion was modified 11 months ago by  David M.

    Good intentions replied 11 months ago 2 Members · 2 Replies
  • 2 Replies
  • Good intentions

    Member
    August 13, 2023 at 4:51 pm

    The Herniamed group is interesting in that they say that they developed the registry to collect information about all types of hernia repair but have an image of mesh as the background on their homepage along with free advertisement for the big mesh makers (“Sponsors”). Kind of hard to believe that there is not some inherent bias in the effort, realized or not. It seems very similar to the EHS web page, which also uses an image of mesh as their background. They just can’t resist promoting mesh, in what seems a disingenuous way. A person can understand showing the sponsors but using the mesh as a logo for the group shows a lack of objectivity. What is the real goal?

    https://www.herniamed.de/en

    “…
    To improve the results and quality of hernia surgery, the non-profit organisation Herniamed was founded. This is a network of surgeons who have a particular interest in hernia surgery. The cornerstone of the Herniamed project is an internet-based quality assurance study (registry) into which all hospitals and private surgery practices can enter data, free of charge and using a scientifically corroborated standard, on the hernia operations performed by them. The results of treatment are followed up for up to ten years so that any problems occurring later can be reliably identified. Based on these findings, experts can then devise the best treatment options for patients.
    …”

  • David M

    Member
    August 13, 2023 at 10:08 am

    I haven’t yet found the 6% number that Dr Towfigh cites in her recent Hernia frustrations video, but I notice in this video that if you split the difference between the pain at rest and pain at exertion for TEP that you come out with exactly 6%. For Lichtenstein the split was 7.9% in the Tep comparison and 7.6% in the Tapp comparison.

    • This reply was modified 11 months ago by  David M.

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