Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort
BackgroundChronic postoperative groin pain (inguinodynia) is a major determinant of patient-reported outcomes after inguinal hernia repair. Evidence comparing open Lichtenstein hernioplasty (LICH) with laparoscopic trans-abdominal pre-peritoneal repair (TAPP) in everyday practice remains limited.Met...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-05-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1590855/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849716316838035456 |
|---|---|
| author | Anas Aljaiuossi Saleh A. Ba-shammakh Mohammad Bani Hani Musab Al-A'athal Mohammad Abu-Hussein Mohammed Sobh Mohammad Yousef Zaid Mesmar Raad Dowais Aseel W. Ababneh Ahmad Kenani Mohammad Ababneh Sameh Alawneh Rawa'a Al-Ibrahim Saja Al-Shdooh Thikrayat Daoud |
| author_facet | Anas Aljaiuossi Saleh A. Ba-shammakh Mohammad Bani Hani Musab Al-A'athal Mohammad Abu-Hussein Mohammed Sobh Mohammad Yousef Zaid Mesmar Raad Dowais Aseel W. Ababneh Ahmad Kenani Mohammad Ababneh Sameh Alawneh Rawa'a Al-Ibrahim Saja Al-Shdooh Thikrayat Daoud |
| author_sort | Anas Aljaiuossi |
| collection | DOAJ |
| description | BackgroundChronic postoperative groin pain (inguinodynia) is a major determinant of patient-reported outcomes after inguinal hernia repair. Evidence comparing open Lichtenstein hernioplasty (LICH) with laparoscopic trans-abdominal pre-peritoneal repair (TAPP) in everyday practice remains limited.MethodsWe performed a retrospective, two-centre cohort study of adults who underwent elective primary or recurrent inguinal hernia repair at King Abdullah University Hospital and Princess Basma Hospital (2010–2020). Patients were assigned to LICH (n = 107) or TAPP (n = 103). The primary endpoint was inguinodynia, defined as pain persisting ≥3 months post-operatively. Secondary endpoints included length of stay (LOS) and surgical complications. Multivariate logistic regression adjusted for age, body-mass index, smoking, hypertension, diabetes and benign prostatic hyperplasia.ResultsBaseline demographics were comparable, although hypertension (28% vs. 15.5%, p = 0.045) and current smoking (41.1% vs. 25.2%, p = 0.020) were more prevalent in the LICH group. Inguinodynia occurred in 23 LICH patients (21.5%) and 9 TAPP patients (8.7%) (p = 0.013). After risk adjustment, LICH remained an independent predictor of chronic pain (adjusted OR = 2.98; 95% CI 1.28–6.97; p = 0.012). Median LOS was slightly longer after LICH (2.40 ± 1.40 days) than TAPP (2.02 ± 0.89 days; p = 0.039). Overall rates of hematoma, seroma, surgical-site infection and early recurrence were low and did not differ significantly between techniques.ConclusionTAPP markedly lowers chronic pain and shortens hospital stay without extra morbidity, supporting its preferential use when expertise permits. |
| format | Article |
| id | doaj-art-e98c3f8b30404500a5078d5f7accb305 |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-e98c3f8b30404500a5078d5f7accb3052025-08-20T03:13:03ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-05-011210.3389/fsurg.2025.15908551590855Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohortAnas Aljaiuossi0Saleh A. Ba-shammakh1Mohammad Bani Hani2Musab Al-A'athal3Mohammad Abu-Hussein4Mohammed Sobh5Mohammad Yousef6Zaid Mesmar7Raad Dowais8Aseel W. Ababneh9Ahmad Kenani10Mohammad Ababneh11Sameh Alawneh12Rawa'a Al-Ibrahim13Saja Al-Shdooh14Thikrayat Daoud15Department of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery, Ministry of Health, Amman, JordanDepartment of General Surgery and Urology, Jordan University of Science and Technology, Al Ramtha, JordanDepartment of Public Health and Community Medicine, Jordan University of Science and Technology, Irbid, JordanFaculty of Medicine, Jordan University of Science and Technology, Irbid, JordanFaculty of Medicine, Jordan University of Science and Technology, Irbid, JordanDepartment of Family Medicine, Jordan University of Science and Technology, Irbid, JordanDepartment of General Surgery and Urology, Jordan University of Science and Technology, Al Ramtha, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanDepartment of General Surgery and Anesthesia, Faculty of Medicine, Yarmouk University, Irbid, JordanBackgroundChronic postoperative groin pain (inguinodynia) is a major determinant of patient-reported outcomes after inguinal hernia repair. Evidence comparing open Lichtenstein hernioplasty (LICH) with laparoscopic trans-abdominal pre-peritoneal repair (TAPP) in everyday practice remains limited.MethodsWe performed a retrospective, two-centre cohort study of adults who underwent elective primary or recurrent inguinal hernia repair at King Abdullah University Hospital and Princess Basma Hospital (2010–2020). Patients were assigned to LICH (n = 107) or TAPP (n = 103). The primary endpoint was inguinodynia, defined as pain persisting ≥3 months post-operatively. Secondary endpoints included length of stay (LOS) and surgical complications. Multivariate logistic regression adjusted for age, body-mass index, smoking, hypertension, diabetes and benign prostatic hyperplasia.ResultsBaseline demographics were comparable, although hypertension (28% vs. 15.5%, p = 0.045) and current smoking (41.1% vs. 25.2%, p = 0.020) were more prevalent in the LICH group. Inguinodynia occurred in 23 LICH patients (21.5%) and 9 TAPP patients (8.7%) (p = 0.013). After risk adjustment, LICH remained an independent predictor of chronic pain (adjusted OR = 2.98; 95% CI 1.28–6.97; p = 0.012). Median LOS was slightly longer after LICH (2.40 ± 1.40 days) than TAPP (2.02 ± 0.89 days; p = 0.039). Overall rates of hematoma, seroma, surgical-site infection and early recurrence were low and did not differ significantly between techniques.ConclusionTAPP markedly lowers chronic pain and shortens hospital stay without extra morbidity, supporting its preferential use when expertise permits.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1590855/fullinguinal herniainguinodynialaparoscopic repairLichtenstein hernioplastyTAPPchronic pain |
| spellingShingle | Anas Aljaiuossi Saleh A. Ba-shammakh Mohammad Bani Hani Musab Al-A'athal Mohammad Abu-Hussein Mohammed Sobh Mohammad Yousef Zaid Mesmar Raad Dowais Aseel W. Ababneh Ahmad Kenani Mohammad Ababneh Sameh Alawneh Rawa'a Al-Ibrahim Saja Al-Shdooh Thikrayat Daoud Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort Frontiers in Surgery inguinal hernia inguinodynia laparoscopic repair Lichtenstein hernioplasty TAPP chronic pain |
| title | Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort |
| title_full | Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort |
| title_fullStr | Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort |
| title_full_unstemmed | Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort |
| title_short | Inguinodynia following inguinal hernia repair: a comparative analysis of open Lichtenstein and laparoscopic TAPP techniques in a two-center cohort |
| title_sort | inguinodynia following inguinal hernia repair a comparative analysis of open lichtenstein and laparoscopic tapp techniques in a two center cohort |
| topic | inguinal hernia inguinodynia laparoscopic repair Lichtenstein hernioplasty TAPP chronic pain |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1590855/full |
| work_keys_str_mv | AT anasaljaiuossi inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT salehabashammakh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT mohammadbanihani inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT musabalaathal inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT mohammadabuhussein inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT mohammedsobh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT mohammadyousef inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT zaidmesmar inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT raaddowais inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT aseelwababneh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT ahmadkenani inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT mohammadababneh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT samehalawneh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT rawaaalibrahim inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT sajaalshdooh inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort AT thikrayatdaoud inguinodyniafollowinginguinalherniarepairacomparativeanalysisofopenlichtensteinandlaparoscopictapptechniquesinatwocentercohort |