Acute Post Operative Pain, Chronic Pain, Femoral Hernia, Inguinal Hernia, Recrrence Rate, Umbilical Hernia, Ventral Hernia
Conditions
Keywords
hernia, register, inguinal hernia, femoral hernia, umbilical hernia, ventral hernia, CPIP, postoperative complications, chronic post-operative pain, recurrence rate
Brief summary
The study attempts to quantify the relative risks for acute postoperative pain, complications rate, chronic postoperative pain (CPIP) and recurrence rate after different methods of repair of groin, umbilical and incisional hernia depending on surgical technique, mesh type and fixation suture material. For this purpose the investigators will analyze data from the Kalinigrad Hernia Registry (KHR).
Interventions
PROCEDUREopen non-mesh hernia repair
A groin and femoral hernia non-mesh repair. An umbilical hernia non-mesh repair. A ventral and incisional hernia non-mesh repair.
PROCEDUREopen mesh hernia repair
A groin and femoral hernia repair, reinforced by synthetic mesh. The mesh is affixed with sutures for Lichtenstein. Self-fixating mesh is also possible. An umbilical, ventral, incisional hernia repair, reinforced by synthetic mesh. The mesh is affixed with sutures.
PROCEDUREMIS hernia repair
A groin and femoral minimal invasive hernia repair (TAPP, eTEP). The mesh is affixed with tack/no-fixation. Self-fixation mesh is also possible. An umbilical, ventral, incisional minimal invasive hernia repair (eTEP, IPOM,). The mesh is affixed with tack and no-fixation .
Sponsors
Immanuel Kant Baltic Federal University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* All mesh and non-mesh repairs that have been registered in the KHR from January 9, 2020, until December 31, 2023.
Exclusion criteria
* Patients not having a 11-digit state-assigned Personal insurance policy number. * Parastomal hernia; * infected hernias;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chronic postoperative pain rate and severity | 1 year | The painDETECT questionnaire will be used to identify chronic postoperative pain. Final painDETECT Score: 20, indicating that a neuropathic pain component is likely (\>90%). |
| Recurrence rate | 3 year | the overall frequency of recurrent hernias |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment satisfaction rate | 3 year | To assess the quality of life will be used Eura HS Quality of Life Scale-EuraHS QoL. EuraHS Qol - total (min - 0, max - 90) EuraHS Qol - pain (min - 0, max - 30) EuraHS Qol - restriction of activities (min - 0, max - 40) EuraHS Qol - cosmetic discomfort (min -0, max - 20) Higher scores mean a worse outcome. |
Countries
Russia
Contacts
Primary ContactViktor V Kakotkin, MD
Outcome results
None listed