Show simple item record

dc.contributor.authorSekhon Inderjit Singh, H. K.
dc.contributor.authorMassey, L. H.
dc.contributor.authorArulampalam, T.
dc.contributor.authorMotson, R. W.
dc.contributor.authorPawa, N.
dc.identifier.citationAm J Surg. 2022 May 21:S0002-9610(22)00305-1. doi: 10.1016/j.amjsurg.2022.05.005.
dc.description.abstractBACKGROUND: The impact of laparoscopic inguinal hernia repair (IHR) on chronic groin pain (CGP) prevalence, risk and daily activities compared to open IHR is still unclear. METHODS: A meta-analysis of randomised controlled trials comparing CGP rates in laparoscopic and open IHR was performed. RESULTS: 22 trials were included. CGP prevalence decreases significantly 1-2 years post-op and reaches rates as low as 4.69% (laparoscopic) and 6.91% (open) at >5 years. There is a significantly lower risk of CGP following totally extraperitoneal (TEP) than open mesh repair at all follow-up periods (p < 0.05) except for >5 years (p = 0.32). The same trend is not seen when compared to open non-mesh repair or for transabdominal pre-peritoneal repair (TAPP). There is no difference between techniques when CGP is described as moderate and/or affecting daily activities (p = 0.08). CONCLUSION: CGP rates continue to decrease at >5 years follow up. TEP consistently results in a reduction in CGP rates compared to open mesh repair however, this is not functionally significant.
dc.rightsCopyright © 2022 Elsevier Inc. All rights reserved.
dc.subjectChronic groin pain
dc.subjectInguinal hernia repair
dc.titleChronic groin pain following inguinal hernia repair in the laparoscopic era: Systematic review and meta-analysis
dc.typeJournal Article
dc.identifier.journalAmerican journal of surgery
dc.description.noteSupports Open Access

Files in this item


There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Copyright © 2022 Elsevier Inc. All rights reserved.
Except where otherwise noted, this item's license is described as Copyright © 2022 Elsevier Inc. All rights reserved.