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Background <p>Recurrence and postoperative pain are major concerns after laparoscopic surgery for inguinal hernia. Follow-up on all patients is difficult and time consuming for both the hospital and the patient. We conducted a patient-reported follow-up study to estimate the rate of recurrence and postoperative pain in our department.</p> Method <p>Patients undergoing the TAPP (TransAbdominal PrePeritoneal) procedure with a self-adherent mesh at Copenhagen University Hospital – North Zealand from 2016 to 2019 received an online survey about signs of recurrence, postoperative pain, and complications. Patients reporting signs of recurrence or pain were contacted and invited for a clinical examination if relevant. Forty-five randomly selected patients who did not report any symptoms of recurrence or pain were contacted by phone for validation.</p> Results <p>871 patients received a questionnaire, and 546 responded, leaving a response rate of 62.7%. Median follow-up time was 34&#xa0;months (IQR 23–47). The self-reported recurrence rate was 8.1% (95% CI: 6.0–11.0%). On examination, recurrence was diagnosed in 2.4% (95% CI: 1.4–4.1%) of the patients. When including the patients with self-reported recurrence who did not accept the offer of clinical examination, the recurrence rate was 3.8% (95% CI: 2.5–5.8%). Four patients (0.7%, 95% CI: 0.2–2.0%) underwent herniotomy for recurrence. The rate of chronic postoperative pain impairing daily activity was 0.5%.</p> Conclusion <p>We found an acceptable low rate of recurrence and postoperative pain compared to other studies. The patient-reported recurrence rate was significantly higher than the clinical recurrence rate after the examination, indicating that patient-reported recurrence seems to overestimate true recurrence after TAPP.</p>

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Recurrence and complications after laparoscopic inguinal hernia repair using a self-adherent mesh: a patient-reported follow-up study

  • 期刊论文

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  • 发表日期：

    2025年2月24日

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  • Helle Lund,
  • Lene Spanager,
  • Azalie Caroline Riberholdt Winther,
  • Mathias Gierløff,
  • Katharina Sunekær,
  • Jakob Kleif,
  • Claus Anders Bertelsen

摘要

Background

Recurrence and postoperative pain are major concerns after laparoscopic surgery for inguinal hernia. Follow-up on all patients is difficult and time consuming for both the hospital and the patient. We conducted a patient-reported follow-up study to estimate the rate of recurrence and postoperative pain in our department.

Method

Patients undergoing the TAPP (TransAbdominal PrePeritoneal) procedure with a self-adherent mesh at Copenhagen University Hospital – North Zealand from 2016 to 2019 received an online survey about signs of recurrence, postoperative pain, and complications. Patients reporting signs of recurrence or pain were contacted and invited for a clinical examination if relevant. Forty-five randomly selected patients who did not report any symptoms of recurrence or pain were contacted by phone for validation.

Results

871 patients received a questionnaire, and 546 responded, leaving a response rate of 62.7%. Median follow-up time was 34 months (IQR 23–47). The self-reported recurrence rate was 8.1% (95% CI: 6.0–11.0%). On examination, recurrence was diagnosed in 2.4% (95% CI: 1.4–4.1%) of the patients. When including the patients with self-reported recurrence who did not accept the offer of clinical examination, the recurrence rate was 3.8% (95% CI: 2.5–5.8%). Four patients (0.7%, 95% CI: 0.2–2.0%) underwent herniotomy for recurrence. The rate of chronic postoperative pain impairing daily activity was 0.5%.

Conclusion

We found an acceptable low rate of recurrence and postoperative pain compared to other studies. The patient-reported recurrence rate was significantly higher than the clinical recurrence rate after the examination, indicating that patient-reported recurrence seems to overestimate true recurrence after TAPP.