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Long term outcome after Lichtenstein hernia repair using general, locoregional or local anaesthesia

L Verstraete, Nathalie Becaus, H Swannet, Wim Ceelen UGent, Luc Duchateau UGent and N Speybroeck (2015) ACTA CHIRURGICA BELGICA. 115(2). p.136-141
abstract
Background : Chronic pain or discomfort after hernia surgery is nowadays a more challenging concern than recurrence. This study aimed to evaluate the long-term impact of local anaesthetic repair (LA) on pain, discomfort, paraesthesia and functional outcome after Lichtenstein hernia repair as compared to locoregional (LRA) and general anaesthesia (GA). Methods : patients with primary or recurrent inguinal hernia underwent Lichtenstein repair with a polypropylene mesh. All patients with a follow-up of at least three years were sent a detailed questionnaire and offered an outpatient visit. Kaplan-Meier estimates and Cox proportional hazard regressions were used to analyse the relationship between time to event variables and explanatory variables including anaesthesia type. Results : Between 1994 and 2006, in two cohorts, 330 patients answered the questionnaire : 100 under GA, 35 under LRA, and 195 under LA. This represented a response rate of 95, 94, and 98% respectively. Compared to GA and LRA, LA resulted in less long term pain, discomfort and paraesthesia. Moreover, resumption of social and professional activities was faster after LA. Recurrence rates were 1, 0, and 0.5% respectively. Conclusions :After Lichtenstein inguinal hernia repair, LA results in beneficial effects beyond the immediate postoperative period.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
CHRONIC PAIN, INGUINAL-HERNIA, RISK-FACTORS, COHORT, RANDOMIZED CLINICAL-TRIAL, QUALITY-OF-LIFE
journal title
ACTA CHIRURGICA BELGICA
Acta Chir. Belg.
volume
115
issue
2
pages
136 - 141
Web of Science type
Article
Web of Science id
000354506500007
JCR category
SURGERY
JCR impact factor
0.394 (2015)
JCR rank
190/199 (2015)
JCR quartile
4 (2015)
ISSN
0001-5458
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
6915055
handle
http://hdl.handle.net/1854/LU-6915055
date created
2015-08-26 13:41:02
date last changed
2017-03-08 15:25:28
@article{6915055,
  abstract     = {Background : Chronic pain or discomfort after hernia surgery is nowadays a more challenging concern than recurrence. This study aimed to evaluate the long-term impact of local anaesthetic repair (LA) on pain, discomfort, paraesthesia and functional outcome after Lichtenstein hernia repair as compared to locoregional (LRA) and general anaesthesia (GA). 
Methods : patients with primary or recurrent inguinal hernia underwent Lichtenstein repair with a polypropylene mesh. All patients with a follow-up of at least three years were sent a detailed questionnaire and offered an outpatient visit. Kaplan-Meier estimates and Cox proportional hazard regressions were used to analyse the relationship between time to event variables and explanatory variables including anaesthesia type. 
Results : Between 1994 and 2006, in two cohorts, 330 patients answered the questionnaire : 100 under GA, 35 under LRA, and 195 under LA. This represented a response rate of 95, 94, and 98\% respectively. Compared to GA and LRA, LA resulted in less long term pain, discomfort and paraesthesia. Moreover, resumption of social and professional activities was faster after LA. Recurrence rates were 1, 0, and 0.5\% respectively. 
Conclusions :After Lichtenstein inguinal hernia repair, LA results in beneficial effects beyond the immediate postoperative period.},
  author       = {Verstraete, L and Becaus, Nathalie and Swannet, H and Ceelen, Wim and Duchateau, Luc and Speybroeck, N},
  issn         = {0001-5458},
  journal      = {ACTA CHIRURGICA BELGICA},
  keyword      = {CHRONIC PAIN,INGUINAL-HERNIA,RISK-FACTORS,COHORT,RANDOMIZED CLINICAL-TRIAL,QUALITY-OF-LIFE},
  language     = {eng},
  number       = {2},
  pages        = {136--141},
  title        = {Long term outcome after Lichtenstein hernia repair using general, locoregional or local anaesthesia},
  volume       = {115},
  year         = {2015},
}

Chicago
Verstraete, L, Nathalie Becaus, H Swannet, Wim Ceelen, Luc Duchateau, and N Speybroeck. 2015. “Long Term Outcome After Lichtenstein Hernia Repair Using General, Locoregional or Local Anaesthesia.” Acta Chirurgica Belgica 115 (2): 136–141.
APA
Verstraete, L., Becaus, N., Swannet, H., Ceelen, W., Duchateau, L., & Speybroeck, N. (2015). Long term outcome after Lichtenstein hernia repair using general, locoregional or local anaesthesia. ACTA CHIRURGICA BELGICA, 115(2), 136–141.
Vancouver
1.
Verstraete L, Becaus N, Swannet H, Ceelen W, Duchateau L, Speybroeck N. Long term outcome after Lichtenstein hernia repair using general, locoregional or local anaesthesia. ACTA CHIRURGICA BELGICA. 2015;115(2):136–41.
MLA
Verstraete, L, Nathalie Becaus, H Swannet, et al. “Long Term Outcome After Lichtenstein Hernia Repair Using General, Locoregional or Local Anaesthesia.” ACTA CHIRURGICA BELGICA 115.2 (2015): 136–141. Print.