Risk factors for postoperative pain after laparoscopic transabdominal preperitoneal repair of inguinal hernia: a prospective observational study.
4 affiliations
- 1Department Of General Surgery, Bakırçay University Çiğli Education and Research Hospital, İzmir, Turkey. [email protected].
- 2Department Of General Surgery, Bakırçay University Çiğli Education and Research Hospital, İzmir, Turkey.
- 3Department Of General Surgery, Uludağ University, Bursa, Turkey.
- 4Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, İzmir, Turkey.
Abstract
Background
Postoperative pain after inguinal hernia surgery is very common and risk factors are still controversial. In this study, we aimed to determine the risk factors for postoperative pain experienced on the 1st, 3rd, 10th and 30th days after surgery in patients who underwent laparoscopic transabdominal preperitoneal repair for inguinal hernia.Methods
The study was conducted as a single-center prospective observational study. Patients over 18 years, had no previous inguinal hernia surgery included in the study. Patients were followed during one month period. Visual Analogue Scale was used for pain evaluation. Descriptive statistics were given and, preoperative and postoperative risk factors were detected with multivariate analysis. p < 0.05 was considered statistically significant.Results
Sixty-two (96.9%) of the patients were male and mean age was 52.3 ± 14.4 years. High ASA score was an independent predictor of higher preoperative VAS score in preoperative period. Higher VAS score on preoperative period was an independent predictor of higher VAS score on 1st postoperative day. Bilateral inguinal hernia was associated with higher VAS score on 3rd postoperative day. Only peritoneal closure with suture was associated with higher VAS score on 30th postoperative day.Conclusions
Preoperative pain is only an independent predictor of postoperative pain on 1st postoperative day. While presence of bilateral hernia is associated with the pain on 3rd postoperative day only peritoneal closure with suture is associated with the pain on 30th postoperative day.Trial registration
NCT05522608.
Related
- Laparoscopic Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Direct Kugel Procedure: A Case Report
- Laparoscopic transabdominal preperitoneal repair of Spigelian hernia in a single-center case series
- Efficacy of laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repair in the treatment of bilateral inguinal hernia: a systematic review and meta-analysis
- “Mesh on the Move” Transabdominal Preperitoneal Mesh Erosion into the Urinary Bladder after Laparoscopic Inguinal Hernia Repair
- Effects of Follicular versus Luteal Phase on Postoperative Mechanical Hyperalgesia Following Laparoscopic Myomectomy: A Prospective Observational Study
BibTeX
@article{tuncer2026risk,
title = {{Risk factors for postoperative pain after laparoscopic transabdominal preperitoneal repair of inguinal hernia: a prospective observational study.}},
author = {Gizem Kılınç Tuncer and Korhan Tuncer and Değercan Yeşilyurt and Hakan Öğücü and Yasemin Kırmızı},
journal = {BMC surgery},
year = {2026},
month = aug,
doi = {10.1186/s12893-026-04077-7},
url = {https://europepmc.org/article/MED/42972307},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Risk factors for postoperative pain after laparoscopic transabdominal preperitoneal repair of inguinal hernia: a prospective observational study.
AU - Gizem Kılınç Tuncer
AU - Korhan Tuncer
AU - Değercan Yeşilyurt
AU - Hakan Öğücü
AU - Yasemin Kırmızı
PY - 2026
DA - 2026/08/06
JO - BMC surgery
DO - 10.1186/s12893-026-04077-7
UR - https://europepmc.org/article/MED/42972307
AB - Background Postoperative pain after inguinal hernia surgery is very common and risk factors are still controversial. In this study, we aimed to determine the risk factors for postoperative pain experienced on the 1st, 3rd, 10th and 30th days after surgery in patients who underwent laparoscopic transabdominal preperitoneal repair for inguinal hernia.Methods The study was conducted as a single-center prospective observational study. Patients over 18 years, had no previous inguinal hernia surgery included in the study. Patients were followed during one month period. Visual Analogue Scale was used for pain evaluation. Descriptive statistics were given and, preoperative and postoperative risk factors were detected with multivariate analysis. p < 0.05 was considered statistically significant.Results Sixty-two (96.9%) of the patients were male and mean age was 52.3 ± 14.4 years. High ASA score was an independent predictor of higher preoperative VAS score in preoperative period. Higher VAS score on preoperative period was an independent predictor of higher VAS score on 1st postoperative day. Bilateral inguinal hernia was associated with higher VAS score on 3rd postoperative day. Only peritoneal closure with suture was associated with higher VAS score on 30th postoperative day.Conclusions Preoperative pain is only an independent predictor of postoperative pain on 1st postoperative day. While presence of bilateral hernia is associated with the pain on 3rd postoperative day only peritoneal closure with suture is associated with the pain on 30th postoperative day.Trial registration NCT05522608.
SN - 1471-2482
ER -