Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings
Background: Chronic pain is a known complication of hernia repair, yet little data are document its incidence or impact on the patient's quality of life. The purpose of this study was to investigate the prevalence of chronic pain after hernia repair, identify the main predictors, and assess th...
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| Format: | Article |
| Language: | English |
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ziauddin University
2025-04-01
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| Series: | Pakistan Journal of Medicine and Dentistry |
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| Online Access: | https://ojs.zu.edu.pk/pjmd/article/view/3547 |
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| author | Aftab Ahmad Baig Kaneez Aisha Waqas Ahmad Rizwan Khalid Muhammad Shahid Mehmood Shaheer Nayyar |
| author_facet | Aftab Ahmad Baig Kaneez Aisha Waqas Ahmad Rizwan Khalid Muhammad Shahid Mehmood Shaheer Nayyar |
| author_sort | Aftab Ahmad Baig |
| collection | DOAJ |
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Background: Chronic pain is a known complication of hernia repair, yet little data are document its incidence or impact on the patient's quality of life. The purpose of this study was to investigate the prevalence of chronic pain after hernia repair, identify the main predictors, and assess the long-term outcomes among those patients.
Methods: A retrospective cohort study was conducted from April 2023 to June 2023 on 80 hernia patients (mean age 52.3 ± 11.8 years). Chronic pain (lasting more than 3 months postoperatively) was assessed, with predictors of chronic pain and the long-term effects on recovery. This study was performed using a conventional sampling method at two tertiary care hospitals i.e. Shaikh Zayed Hospital and Akhtar Saeed Hospital in Lahore. The data were analyzed using the software SPSS version 20 via ANOVA testing (p-value<0.05 statistically significant).
Results: Among the 80 patients who took part in the study, 15 (18.8%) reported chronic pain after surgery, with a mean duration of 6.2 ± 2.4 months. However, the incidence of chronic pain was significantly higher in the herniorrhaphy group (28.1%) than in the hernioplasty group (16.7%, p = 0.042). Older patients (p = 0.022), prior hernia recurrence (p = 0.017), and low preoperative serum albumin levels (<3.5g/dL, p = 0.030) were all predictors of chronic pain.
Conclusion: Chronic pain after hernia repair is a major complication with a high incidence in many patients following herniorrhaphy. Important specific predictors for chronic pain include older age, recurrent hernias, and low serum albumin levels.
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| format | Article |
| id | doaj-art-abdff25a89d949bbacb3fd61764eae28 |
| institution | DOAJ |
| issn | 2313-7371 2308-2593 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | ziauddin University |
| record_format | Article |
| series | Pakistan Journal of Medicine and Dentistry |
| spelling | doaj-art-abdff25a89d949bbacb3fd61764eae282025-08-20T03:08:40Zengziauddin UniversityPakistan Journal of Medicine and Dentistry2313-73712308-25932025-04-0114210.36283/ziun-pjmd14-2/022Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare SettingsAftab Ahmad Baig0Kaneez Aisha1Waqas Ahmad2Rizwan Khalid3Muhammad Shahid Mehmood4Shaheer Nayyar5Akhtar Saeed Medical & Dental College, Akhtar Saeed Trust Hospital, LahorePeoples University of Medical and Health Sciences for Women, Nawabshah, Shaheed Benazirabad, Sindh, Pakistan.Farooq Hospital, Akhtar Saeed Medical and Dental college , LahoreAkhtar Saeed Medical & Dental College, Akhtar Saeed Trust Hospital, Lahore Akhtar Saeed Medical & Dental College, Akhtar Saeed Trust Hospital, LahoreAllama Iqbal Medical College, Jinnah hospital Lahore, Pakistan Background: Chronic pain is a known complication of hernia repair, yet little data are document its incidence or impact on the patient's quality of life. The purpose of this study was to investigate the prevalence of chronic pain after hernia repair, identify the main predictors, and assess the long-term outcomes among those patients. Methods: A retrospective cohort study was conducted from April 2023 to June 2023 on 80 hernia patients (mean age 52.3 ± 11.8 years). Chronic pain (lasting more than 3 months postoperatively) was assessed, with predictors of chronic pain and the long-term effects on recovery. This study was performed using a conventional sampling method at two tertiary care hospitals i.e. Shaikh Zayed Hospital and Akhtar Saeed Hospital in Lahore. The data were analyzed using the software SPSS version 20 via ANOVA testing (p-value<0.05 statistically significant). Results: Among the 80 patients who took part in the study, 15 (18.8%) reported chronic pain after surgery, with a mean duration of 6.2 ± 2.4 months. However, the incidence of chronic pain was significantly higher in the herniorrhaphy group (28.1%) than in the hernioplasty group (16.7%, p = 0.042). Older patients (p = 0.022), prior hernia recurrence (p = 0.017), and low preoperative serum albumin levels (<3.5g/dL, p = 0.030) were all predictors of chronic pain. Conclusion: Chronic pain after hernia repair is a major complication with a high incidence in many patients following herniorrhaphy. Important specific predictors for chronic pain include older age, recurrent hernias, and low serum albumin levels. https://ojs.zu.edu.pk/pjmd/article/view/3547Chronic PainHernia RepairPredictorsLong-Term effectsHerniorrhaphyHernioplasty |
| spellingShingle | Aftab Ahmad Baig Kaneez Aisha Waqas Ahmad Rizwan Khalid Muhammad Shahid Mehmood Shaheer Nayyar Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings Pakistan Journal of Medicine and Dentistry Chronic Pain Hernia Repair Predictors Long-Term effects Herniorrhaphy Hernioplasty |
| title | Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings |
| title_full | Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings |
| title_fullStr | Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings |
| title_full_unstemmed | Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings |
| title_short | Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings |
| title_sort | insights to chronic pain in hernia repair clinicopathological assessment of incidence predictors and long term outcomes in tertiary healthcare settings |
| topic | Chronic Pain Hernia Repair Predictors Long-Term effects Herniorrhaphy Hernioplasty |
| url | https://ojs.zu.edu.pk/pjmd/article/view/3547 |
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