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Reoperation for per...
Reoperation for persistent pain after groin hernia surgery : a population-based study
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- Magnusson, Niklas, 1975- (författare)
- Region Örebro län,Department of Surgery, Örebro University Hospital, Örebro, Sweden
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- Gunnarsson, Ulf, 1967- (författare)
- Umeå universitet,Kirurgi
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- Nordin, Pär (författare)
- Umeå universitet,Kirurgi
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- Smedberg, S. (författare)
- Dept Surg, Helsingborg Hosp, Helsingborg, Sweden
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- Hedberg, M. (författare)
- Dept Surg, Mora, Mora Hosp, Mora, Sweden
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- Sandblom, G. (författare)
- Karolinska Institutet
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(creator_code:org_t)
- 2014-12-18
- 2015
- Engelska.
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Ingår i: Hernia. - : Springer. - 1265-4906 .- 1248-9204. ; 19:1, s. 45-51
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Purpose: The aim of the present study was to assess the outcome results after reoperation for persistent pain after hernia surgery in a population-based setting.Methods: All patients who had undergone surgery for persistent pain after previous groin hernia surgery 1999-2006 were identified in the Swedish Hernia Register (n = 237). Data on the surgical technique used were abstracted from the medical records. The patients were asked to answer a set of questions including SF-36 to evaluate the prevalence of pain after reoperation.Results: The study group consisted of 95 males and 16 females, mean age 53 years. In 27 % of cases an intervention aimed at suspected ilioinguinal neuralgia was performed. The mesh was removed completely in 28 % and partially in 13 %. A suture at the pubic tubercle was removed in 13 % of cases. Decrease in pain after the most recent reoperation was reported by 69 patients (62 %), no change in pain by 21 patients (19 %) and increase in pain in 21 patients (19 %). There was no significant difference in outcome between mesh removal, removal of sutures at the tubercle or interventions aimed at the ilioinguinal nerve. All subscales of SF-36 were significantly reduced when compared to the age-and gender-matched general population (p < 0.05).Conclusions: Patients reoperated for persistent pain after hernia surgery often report a reduction in pain, but the natural course of persistent pain, the relatively low response rate and selection of patients make it difficult to draw definite conclusions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Hernia
- Pain
- Reoperation
- Register
- Ilioinguinal nerve
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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