PMID- 23775532
OWN - NLM
STAT- MEDLINE
DCOM- 20141203
LR  - 20211021
IS  - 1248-9204 (Electronic)
IS  - 1248-9204 (Linking)
VI  - 18
IP  - 2
DP  - 2014 Apr
TI  - Prospective, randomized-controlled trial comparing postoperative pain after plug 
      and patch open repair with totally extraperitoneal inguinal hernia repair.
PG  - 237-42
LID - 10.1007/s10029-013-1123-6 [doi]
AB  - PURPOSE: The aim of this study was to compare postoperative pain between the open 
      tension-free plug and patch (PP) technique and the totally extraperitoneal patch 
      (TEP) hernioplasty. METHODS: One hundred and fifty-four male patients with 
      unilateral inguinal hernia were randomized to undergo PP and TEP from 2005 to 
      2009. Pain assessment was conducted using the numerical rating scale (NRS) and 
      the McGill Pain Questionnaire preoperatively, 6, 12 and 24 months 
      postoperatively. All patients received the same analgesic regimen and documented 
      pain in a NRS-based 4-week diary. RESULTS: Of the 154 patients 77 underwent TEP 
      and 77 PP. Median follow-up was 3.8 years. One recurrent hernia was observed in 
      the TEP and two in the PP group (p = 0.56). Median preoperative NRS scores were 2 
      and 2, 0.3 and 0.4 at 6 months, 0.1 and 0.3 at 12 months, 0.2 and 0.1 at 24 
      months postoperatively in the PP and TEP groups, respectively (p > 0.05). Data 
      from the 4-week pain diaries revealed significant differences in pain intensity 
      between the two different techniques from the second postoperative week (p < 
      0.05). Patients in the PP group required more additional analgesics on day four 
      and five postoperatively (p = 0.037 and 0.015, respectively). CONCLUSIONS: Our 
      data favor the TEP technique concerning postoperative pain as primary endpoint 
      between tension-free PP and TEP hernia repair.
FAU - Aigner, F
AU  - Aigner F
AD  - Department of Visceral, Transplant and Thoracic Surgery, Innsbruck Medical 
      University, Anichstrasse 35, 6020, Innsbruck, Austria, felix.aigner@i-med.ac.at.
FAU - Augustin, F
AU  - Augustin F
FAU - Kaufmann, C
AU  - Kaufmann C
FAU - Schlager, A
AU  - Schlager A
FAU - Ulmer, H
AU  - Ulmer H
FAU - Pratschke, J
AU  - Pratschke J
FAU - Schmid, T
AU  - Schmid T
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20130618
PL  - France
TA  - Hernia
JT  - Hernia : the journal of hernias and abdominal wall surgery
JID - 9715168
SB  - IM
MH  - Adult
MH  - Hernia, Inguinal/*surgery
MH  - Herniorrhaphy/*methods
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Pain Measurement
MH  - Pain, Postoperative/*prevention & control
MH  - Postoperative Complications/epidemiology
MH  - Prospective Studies
MH  - Recurrence
MH  - *Surgical Mesh
MH  - Treatment Outcome
EDAT- 2013/06/19 06:00
MHDA- 2014/12/15 06:00
CRDT- 2013/06/19 06:00
PHST- 2012/08/28 00:00 [received]
PHST- 2013/06/08 00:00 [accepted]
PHST- 2013/06/19 06:00 [entrez]
PHST- 2013/06/19 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 10.1007/s10029-013-1123-6 [doi]
PST - ppublish
SO  - Hernia. 2014 Apr;18(2):237-42. doi: 10.1007/s10029-013-1123-6. Epub 2013 Jun 18.