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Chronic postherniotomy pain affects every day activities in 5-8% of patients. However, no established treatment for this pain syndrome exists and previous reports on the effect of surgical intervention suffer from methodological problems. The neurophysiological characteristics suggest that pain arises from deeper neuronal structures injured during surgery or by ongoing inflammation from the mesh. This study investigates the effect of removing inserted mesh and compressed nerves on pain related daily impairment of activities assessed by the validated AAS questionnaire before and 6 months after surgery
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | patients with chronic postherniotomy pain (>1 year), affecting everyday activities severely |
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| Measure | Description | Time Frame |
|---|---|---|
| changes in AAS scores before and six months after operation | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| changes in sensory function assessed by quantitative sensory testing | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with chronic pain occuring after groin hernia repair. Patients must experience moderate/severe pain related impairment of everyday activities. Patients have to be able to localize a maximum point of pain.
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| Name | Affiliation | Role |
|---|---|---|
| Eske K Aasvang, M.D. | Rigshospitalet, Copenhagen University, Denmark | Study Director |
| Henrik Kehlet, M.D., Ph. D. | Rigshospitalet, Copenhagen University, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | 2100 | Denmark | |||
| Ambulatory Surgical Clinic, Hørsholm Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15962258 | Background | Aasvang E, Kehlet H. Surgical management of chronic pain after inguinal hernia repair. Br J Surg. 2005 Jul;92(7):795-801. doi: 10.1002/bjs.5103. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D059350 | Chronic Pain |
| D006552 | Hernia, Inguinal |
| D009437 | Neuralgia |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D046449 | Hernia, Abdominal |
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| Hørsholm |
| 2980 |
| Denmark |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |