Chronic Pain and Discomfort Following the Mesh Plug Hernioplasty - Results of a two year follow-up of a swedish material

网塞疝修补术后慢性疼痛与不适跟踪两年调查

Author: Enebog J, Medical Programme, Faculty of Health Sciences, Link?pings Universitet, Sweden.

Neuralgia following hernia surgery is a well-known complication. The aim of this study is to study the prevalence of not just chronic pain but also discomfort after mesh plug herniooplasty. The study is designed as a prospective follow-up study.

神经疼痛是疝修补术后常见并发症。本调查的目的不仅要调查网塞疝修补后的慢性疼痛而且要调查网塞修补后的不适感。本调查方法是术后跟踪调查法。

A total of 385 inguinal and femoral hemias in 372 consecutive patients were operated on as described by Rutkow and Robbins. 362 patients (97.3 %) completed a questionnaire in which they were asked whether they experienced pain or discomfort in their operated groin or not (median follow-up 12.8 months). Patients experiencing pain or discomfort were then asked to complete another questionnaire in order to characterize their symptoms and were also offered clinical examination.

本调查涵盖 372位病人385个疝采用Rutkow and Robbins 网塞充填法修补后的结果。362位病人完成了填写了问卷（97.3%）。问卷询问病人是否术后有疼痛和不适感。回答有疼痛与不适感的病人又被要求把他们的症状归类，并被提议做检查。

85 (23.5%) patients reported chronic pain or discomfort. By the time the questionnaire regarding the character of their symptoms had been completed 32 patients of these still had pain or discomfort (median follow-up 25.0 months). Three patients (0.8%) had severe pain (classified by the patients themselves as "not acceptable"). Six patients reported "sexual complications", pain during intercourse (one patient), painful erection (three) and painful ejaculation (two).

85（23.5%）位病人反映有疼痛与不适感。25个月以后，仍然有32位病人有疼痛与不适感。3位病人有严重的疼痛（0.8%）。6位病人反映有“性功能并发症“，性交时疼痛（1位病人），勃起疼痛（3位病人），射精疼痛（2位病人）。

In conclusion, approximately two years after surgery about 10% of the patients experienced some degree of pain or local discomfort in their operated groin.

结论：网塞疝修补后两年后，大约 10%的病人经历过不同程度的疼痛和不适。

Key words: hernia repair, complications. chronic pain, polypropylene mesh