Factors Influencing the Results of Treatment in Patients With Hernias of Various Localizations

N/ARecruitingNCT05920200

Immanuel Kant Baltic Federal University4,000 enrolled

Overview

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).

Study Type

OBSERVATIONAL

Enrollment

4,000

Conditions

Inguinal Hernia Femoral Hernia Umbilical Hernia Ventral Hernia Chronic Pain Acute Post Operative Pain Recrrence Rate

Interventions

open mesh hernia repairPROCEDURE

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 repairPROCEDURE

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 .

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All mesh and non-mesh repairs that have been registered in the KHR from January 9, 2020, until December 31, 2023. Exclusion Criteria: * Patients not having a 11-digit state-assigned Personal insurance policy number. * Parastomal hernia; * infected hernias;

Outcomes

Primary Outcomes

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%).

Time frame: 1 year

Recurrence rate

the overall frequency of recurrent hernias

Time frame: 3 year

Secondary Outcomes

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.