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Title of Journal: Hernia

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Abbravation: Hernia

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Springer Paris

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DOI

10.1002/cbic.201402570

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1248-9204

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Prognostic value of age for chronic postoperative

Authors: H R Langeveld P Klitsie H Smedinga H Eker M van’t Riet W Weidema Y Vergouwe H J Bonjer J Jeekel J F Lange
Publish Date: 2014/08/05
Volume: 19, Issue: 4, Pages: 549-555
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Abstract

Chronic postoperative inguinal pain CPIP is considered the most common and serious longterm problem after inguinal hernia repair Young age has been described as a risk factor for developing chronic pain after several surgical procedures Our aim was to assess if age has prognostic value on CPIPThe database of a randomized trial the LEVEL trial 669 patients TEP versus Lichtenstein was used for analysis Data on incidence and intensity of preoperative pain postoperative pain and CPIP at 1 year were collected The association of age with incidence and intensity of pain was assessed with regression analysis Further hernia type and surgical technique were studied in combination with age and CPIP as possible risk factors on CPIP over age aloneYounger patients 18–40 years presented more often with CPIP than middleaged patients 40–60 years and elderly 60 years 43 vs 29 vs 19  overall 27  Younger and middleaged patients had more frequently preoperative pain 54 vs 55 vs 41  and intensity of pain was higher during the first three postoperative days VAS on day 1 55 vs 45 vs 39 and on day 3 38 vs 29 vs 26 Indirecttype hernias were seen more often in younger patients 77 vs 51 vs 48  and were not related to CPIP or with surgical technique

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  10. Two-port totally extraperitoneal inguinal hernia repair: a 10-year experience
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  14. De Garengeot’s hernia: the importance of early diagnosis and its complications
  15. Late bilateral diaphragmatic rupture: Challenging diagnostic and surgical repair
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