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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with groin and femoral hernia/IG |
| ||
| Patients with umbilical hernia/IG |
| ||
| Patients with ventral and incisional hernia/InG |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| open non-mesh hernia repair | Procedure | A groin and femoral hernia non-mesh repair. An umbilical hernia non-mesh repair. A ventral and incisional hernia non-mesh repair. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Chronic postoperative pain rate and severity | The painDETECT questionnaire will be used to identify chronic postoperative pain. Final painDETECT Score: 20, indicating that a neuropathic pain component is likely (>90%). | 1 year |
| Recurrence rate | the overall frequency of recurrent hernias | 3 year |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment satisfaction rate | 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. | 3 year |
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Inclusion Criteria:
Exclusion Criteria:
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An unselected, consecutive regionwide cohort during 3 years, with a 3-year follow-up
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Viktor V Kakotkin, MD | Contact | +74012595071 | Vkakotkin@kantiana.ru |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Baltic Federal University | Recruiting | Kaliningrad | Kaliningrad Oblast | 236041 | Russia |
No individual participant data (IPD) will be available for other researcher.
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| open mesh hernia repair | Procedure | 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. |
|
| MIS hernia repair | Procedure | 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 . |
|
| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D006550 | Hernia, Femoral |
| D006554 | Hernia, Umbilical |
| D006555 | Hernia, Ventral |
| D059350 | Chronic Pain |
| D010149 | Pain, Postoperative |
| D006547 | Hernia |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D010335 | Pathologic Processes |
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