Faculty Collaboration Database

Preoperative pain in patient with an inguinal hernia predicts long-term quality of life. Surgery 2018 Mar;163(3):578-581

Date

12/16/2017

Pubmed ID

29241993

DOI

10.1016/j.surg.2017.09.055

Scopus ID

2-s2.0-85037578554 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

BACKGROUND: Patients presenting for inguinal hernia repair report a wide range of pain. We hypothesized that patients presenting with less preoperative pain would experience a greater improvement in long-term quality of life after an inguinal hernia repair.

METHODS: A total of 54 patients underwent either laparoscopic or open inguinal hernia repair and completed the Short Form 12 (SF-12) survey both preoperatively and 6 to 12 months after their repair. The physical and mental component scores (PCS and MCS) were calculated from the SF-12. Patients also completed an analog surgical pain scale. t Tests and analyses of covariance were used. A preoperative surgical pain scale score of >12 was representative of moderate to severe pain.

RESULTS: Regardless of preoperative pain, there was improvement in long-term PCS quality of life (45.4 ± 11.3 vs 50.1 ± 9.1; P < .0001) that was not noted when assessing MCS quality of life (55.0 ± 8.3 vs 54.7 ± 9.4; P = .76). Patients who reported no or a low amount of preoperative pain experienced improved PCS quality of life compared with patients who reported moderate to severe preoperative pain (P = .048). This relationship was not noted with MCS (P = .16).

CONCLUSION: This study suggests that patients presenting for inguinal hernia repair with no or low pain are more likely to experience improved physical function quality of life as a result of the herniorrhaphy.

Author List

Mier N, Helm M, Kastenmeier AS, Gould JC, Goldblatt MI

Authors

Matthew I. Goldblatt MD Professor in the Surgery department at Medical College of Wisconsin
Jon Gould MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Andrew Sean Kastenmeier MD Associate Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Female
Follow-Up Studies
Hernia, Inguinal
Herniorrhaphy
Humans
Laparoscopy
Male
Middle Aged
Pain
Pain Measurement
Quality of Life
Retrospective Studies
Treatment Outcome