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document
Patient-reported outcomes after inguinal herniorrhaphy . BACKGROUND Patient-reported outcomes ( PRO ) reflect the functional outcomes of inguinal herniorrhaphy . We studied the effect of hernia recurrence and complications on PRO for participants in the Veterans Affairs trial of Open or Laparoscopic Repair of Inguinal Hernia . METHODS Analyzed PRO included ( 1 ) the Medical Outcomes Study Short Form 36 , version 2 , ( 2 ) the Surgical Pain Scale , ( 3 ) the Activities Assessment Scale , and ( 4 ) patient satisfaction . Recurrences and complications were recorded at follow-up visits . Complications were categorized by ( 1 ) hematoma/seroma , ( 2 ) orchitis , ( 3 ) neuralgia , and ( 4 ) other . Univariate and multivariable regression analyses identified variables significantly associated with postoperative PRO . RESULTS Of the 1603 patients with PRO data , 105 had a recurrence and 342 had a complication at 2 years . Multivariable analyses showed neuralgia ( P < .0005 ) adversely affected all PRO , and recurrence ( P < .05 ) affected patient-reported pain , activity , and satisfaction , but not the score for the Medical Outcomes Study Short Form 3 . Patients with a recurrence after open repair had more pain than those with a recurrence after laparoscopic repair ( P = .0001 ) . Patients with other complications after laparoscopic repair reported more pain and less activity than those with other complications after open repair ( P = .003 and P = .009 , respectively ) . CONCLUSIONS The effectiveness of inguinal herniorrhaphy should be measured by the rate of recurrence and neuralgia . Postoperative neuralgias have a deleterious effect on all patient-reported outcomes .
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Intervention_Surgical
inguinal herniorrhaphy .
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Intervention_Surgical
inguinal herniorrhaphy .
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Outcome_Physical
hematoma/seroma
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Outcome_Physical
orchitis
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Outcome_Physical
neuralgia
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Outcome_Physical
neuralgia
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Outcome_Pain
patient-reported pain
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Outcome_Physical
activity
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Outcome_Other
satisfaction
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Outcome_Other
Medical Outcomes Study Short Form 3
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Outcome_Pain
pain
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Outcome_Pain
pain
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Outcome_Physical
less activity
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Outcome_Physical
recurrence
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Outcome_Physical
neuralgia