Long-term outcomes of laparoscopic inguinal hernia repair

Loban KM, Smirnova OA, Andriyashkin AV, et al. Long-term outcomes of laparoscopic inguinal hernia repair. Pirogov Russian Journal of Surgery. 2024;(12):67‑73. (In Russ.)
https://doi.org/10.17116/hirurgia202412167

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To evaluate the long-term outcomes of laparoscopic inguinal hernia repair.

MATERIAL AND METHODS

A retrospective cohort study included patients after laparoscopic elective inguinal hernia repair in 2019. Telephone survey of patients was conducted in 2023 to assess the incidence of recurrence and chronic pain. All patients with any complaints were invited for clinical examination and ultrasound of inguinal area.

RESULTS

Among 651 patients after inguinal hernia repair, 474 (72.8%) ones underwent laparoscopic surgery. Chronic pain was observed in 41 (11.1%) patients, recurrences — in 9 (2.5%) patients as evidenced by clinical examination and ultrasound data.

CONCLUSION

Recurrence and especially chronic pain after laparoscopic inguinal hernia repair are still a significant problem. According to our data, incidence of recurrences and chronic pain syndrome remains high. This fact confirms the importance of this problem and the need to look for new solutions.

Keywords:

inguinal hernia

laparoscopic hernia repair

recurrence

chronic pain syndrome

Authors:

Loban K.M.

Pirogov Russian National Research Medical University;
Pirogov Clinical Hospital No. 1

ORCID: 0000-0002-8333-2398

Smirnova O.A.

Pirogov Russian National Research Medical University;
Pirogov Clinical Hospital No. 1

ORCID: 0009-0000-3400-8754

Andriyashkin A.V.

Pirogov Russian National Research Medical University;
Pirogov Clinical Hospital No. 1

ORCID: 0000-0002-4170-9521

Mamadumarov V.A.

Pirogov Clinical Hospital No. 1

ORCID: 0000-0003-0532-5325

Balya A.V.

Pirogov Russian National Research Medical University

ORCID: 0009-0007-9140-4009

Timurzieva M.G.

Pirogov Russian National Research Medical University

ORCID: 0009-0006-7398-5471

Kulikov V.M.

Pirogov Clinical Hospital No. 1;
Sechenov First Moscow State Medical University

ORCID: 0000-0002-9131-1634

Sazhin A.V.

Pirogov Russian National Research Medical University;
Pirogov Clinical Hospital No. 1

SPIN RSCI: 7064-6369
Scopus AuthorID: 6701753208
ORCID: 0000-0001-6188-6093

Received:

26.03.2024

Accepted:

09.04.2024

Close metadata

References:

Maneck M, Köckerling F, Fahlenbrach C, Heidecke CD, Heller G, Meyer HJ, Rolle U, Schuler E, Waibel B, Jeschke E, Günster C. Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients. Hernia. 2020;24(4):747-757. https://doi.org/10.1007/s10029-019-02091-8
Bay-Nielsen M, Kehlet H, Strand L, Malmstrøm J, Andersen FH, Wara P, Juul P, Callesen T; Danish Hernia Database Collaboration. Quality assessment of 26 304 herniorrhaphies in Denmark: A prospective nationwide study. Lancet. 2001;358(9288):1124-1128. https://doi.org/10.1016/S0140-6736(01)06251-1
van Veenendaal N, Simons MP, Bonjer HJ. International guidelines for groin hernia management. Hernia. 2018;22(1):167-168. https://doi.org/10.1007/s10029-018-1729-9
Tschuor C, Metzger J, Clavien PA, Vonlanthen R, Lehmann K. Inguinal hernia repair in Switzerland. Hernia. 2015;19(5):741-745. https://doi.org/10.1007/s10029-015-1385-2
Revishvili ASh, Olovyanny VE, Sazhin VP, Anishchenko MA, Kuznetsov AV, Mironova NL, Shelina NV. Surgical care in the Russian Federation. M., 2021. (In Russ.).
Sazhin AV, Andriyashkin AV, Ivakhov GB, Mamadumarov VA, Nikishkov AS, Loban KM, Teplyh AV, Shadin KI. Analysis of surgery for inguinal hernia under hernia center. Rossijskij medicinskij zhurnal. 2018;24(4):176-179. (In Russ.). https://doi.org/10.18821/0869-2106-2018-24-4-176-179
Shabunin AV, Bagatelia ZA, Grekov DN, Eminov MZ, Shakirov KA, Gugnin AV. Comparative analysis of the outcomes of treatment with inguinal canal repair according to the Lichtenstein technique and laparoscopic hernioplasty (TAPP) in patients with an inguinal hernia Moskovskij hirurgichekij zhurnal. 2018;5(63):22-27. (In Russ.). https://doi.org/10.17238/issn2072-3180.2018.5.22-27
Schmedt CG, Sauerland S, Bittner R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: A meta-analysis of randomized controlled trials. Surgical Endoscopy and Other Interventional Techniques. 2005;19(2):188-199. https://doi.org/10.1007/s00464-004-9126-0
Haladu N, Alabi A, Brazzelli M, Imamura M, Ahmed I, Ramsay G, Scott NW. Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials. Surgical Endoscopy. 2022;36(7):4685-4700. https://doi.org/10.1007/s00464-022-09161-6
Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified lichtenstein repairs. Annals of Surgery. 2011;254(5):709-714. https://doi.org/10.1097/SLA.0b013e3182359d07
Pokorny H, Klingler A, Schmid T, Fortelny R, Hollinsky C, Kawji R, Steiner E, Pernthaler H, Függer R, Scheyer M. Recurrence and complications after laparoscopic versus open inguinal hernia repair: Results of a prospective randomized multicenter trial. Hernia. 2008;12(4):385-389. https://doi.org/10.1007/s10029-008-0357-1
Aasvang EK, Bay-Nielsen M, Kehlet H. Pain and functional impairment 6 years after inguinal herniorrhaphy. Hernia. 2006;10(4):316-321. https://doi.org/10.1007/s10029-006-0098-y
Kalliomäki ML, Meyerson J, Gunnarsson U, Gordh T, Sandblom G. Long-term pain after inguinal hernia repair in a population-based cohort; risk factors and interference with daily activities. European Journal of Pain. 2008;12(2):214-225. https://doi.org/10.1016/j.ejpain.2007.05.006
Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR, Di Miceli D, Doglietto GB. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011;15(3):239-249. https://doi.org/10.1007/s10029-011-0798-9
Van Den Kerkhof EG, Peters ML, Bruce J. Chronic pain after surgery: Time for standardization? a framework to establish core risk factor and outcome domains for epidemiological studies. The Clinical Journal of Pain. 2013;29(1):2-8. https://doi.org/10.1097/AJP.0b013e31824730c2
Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Supplements. 1986;3:S1-226.
Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G. Recurrent groin hernia surgery. British Journal of Surgery. 2011;98(10):1489-1494. https://doi.org/10.1002/bjs.7559
Liu N, Greenberg JA, Xu Y, Shada AL, Funk LM, Lidor AO. Phone follow-up after inguinal hernia repair. Surgical Endoscopy. 2021;35(9):5159-5166. https://doi.org/10.1007/s00464-020-08005-5
Bakker WJ, Roos MM, Kerkman T, Burgmans JPJ. Experience with the PINQ-PHONE telephone questionnaire for detection of recurrences after endoscopic inguinal hernia repair. Hernia. 2019;23(4):685-691. https://doi.org/10.1007/s10029-019-01909-9
Ramsay G, Scott NW, Jansen JO. A 19 year population-based cohort study analysing reoperation for recurrence following laparoscopic and open inguinal hernia repairs. Hernia. 2020;24(4):793-800. https://doi.org/10.1007/s10029-019-02073-w
Herniamed Registry https://www.herniamed.de/en/homepage
Swedish Hernia Registry https://svensktbrackregister.se/en/
Andresen K, Rosenberg J. Decreasing use of open procedures in elective inguinal hernia surgery. Laparoscopic surgery. 2021;5(October 2020):0-2. https://doi.org/10.21037/ls-20-126
Christophersen C, Fonnes S, Andresen K, Rosenberg J. Lower recurrence rate after groin and primary ventral hernia repair performed by high-volume surgeons: a systematic review. Hernia. 2022;26(1):29-37. https://doi.org/10.1007/s10029-020-02359-4
Köckerling F, Bittner R, Kraft B, Hukauf M, Kuthe A, Schug-Pass C. Does surgeon volume matter in the outcome of endoscopic inguinal hernia repair? Surgical Endoscopy. 2017;31(2):573-585. https://doi.org/10.1007/s00464-016-5001-z
Andresen K, Friis-Andersen H, Rosenberg J. Laparoscopic repair of primary inguinal hernia performed in public hospitals or low-volume centers have increased risk of reoperation for recurrence. Surgical Innovation. 2016;23(2):142-147. https://doi.org/10.1177/1553350615596636
Burcharth J, Andresen K, Pommergaard HC, Bisgaard T, Rosenberg J. Recurrence patterns of direct and indirect inguinal hernias in a nationwide population in Denmark. Surgery. 2014;155(1):173-177. https://doi.org/10.1016/j.surg.2013.06.006
Brucchi F, Ferraina F, Masci E, Ferrara D, Bottero L, Faillace GG. Standardization and learning curve in laparoscopic hernia repair: experience of a high-volume center. BMC Surgery. 2023;23(1):1-12. https://doi.org/10.1186/s12893-023-02119-y
Kald A, Nilsson E, Anderberg B, Bragmark M, Engström P, Gunnarsson U, Haapaniemi S, Lindhagen J, Nilsson P, Sandblom G, Stubberöd A. Reoperation as surrogate endpoint in hernia surgery: A three year follow-up of 1565 herniorrhaphies. European Journal of Surgery. 1998;164(1):45-50. https://doi.org/10.1080/110241598750004940
Riemenschneider KA, Lund H, Pommergaard HC. No evidence for fixation of mesh in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair: a systematic review and meta-analysis of randomized controlled trials. Surgical Endoscopy. 2023;(0123456789). https://doi.org/10.1007/s00464-023-10237-0
Fumagalli Romario U, Puccetti F, Elmore U, Massaron S, Rosati R. Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: A prospective comparison. Surgical Endoscopy. 2013;27(5):1798-1802. https://doi.org/10.1007/s00464-012-2683-8
Jeroukhimov I, Dykman D, Hershkovitz Y, Poluksht N, Nesterenko V, Yehuda AB, Stephansky A, Zmora O. Chronic pain following totally extra-peritoneal inguinal hernia repair: a randomized clinical trial comparing glue and absorbable tackers. Langenbeck’s Archives of Surgery. 2023;408(1):1-5. https://doi.org/10.1007/s00423-023-02932-2
Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surgical Endoscopy and Other Interventional Techniques. 2008;22(3):757-762. https://doi.org/10.1007/s00464-007-9510-7
Forester B, Attaar M, Chirayil S, Kuchta K, Denham W, Linn JG, Haggerty SP, Ujiki M. Predictors of chronic pain after laparoscopic inguinal hernia repair. Surgery. 2021;169(3):586-594. https://doi.org/10.1016/j.surg.2020.07.049
Zaitsev OV, Koshkina AV, Khubezov DA, Yudin VA, Barsukov VV, Bragina IYu. Immediate and long-term results of laparoscopic hernioplasty in inguinal hernias with and without mesh endoprosthesis fixation. Vestnik hirurgii imeni I.I. Grekova. 2020;179(4):22-28. (In Russ.). https://doi.org/10.24884/0042-4625-2020-179-4-22-28
Gitelis ME, Patel L, Deasis F, Joehl R, Lapin B, Linn J, Haggerty S, Denham W, Ujiki MB. Laparoscopic totally extraperitoneal groin hernia repair and quality of life at 2-year follow-up. Journal of the American College of Surgeons. 2016;223(1):153-161. https://doi.org/10.1016/j.jamcollsurg.2016.04.003
Bay-Nielsen M, Nilsson E, Nordin P, Kehlet H. Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males. British Journal of Surgery. 2004;91(10):1372-1376. https://doi.org/10.1002/bjs.4502