Pain after totally extraperitoneal (TEP) hernia repair might fade out within a year

J. P J Burgmans*, N. Schouten, G. J. Clevers, E. J M M Verleisdonk, P. H P Davids, C. E H Voorbrood, R. K J Simmermacher, T. Van Dalen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)


Background: The incidence of chronic pain after endoscopic hernia repair varies between 1 and 16 %. Studies regarding the course of pain in time after the operation are scarce. Methods: 473 male patients ≥18 years of age, scheduled for totally extraperitoneal (TEP) hernia repair (Prolene® mesh) between March 2010 and August 2012 were requested to record pain symptoms preoperative, and 1 day, 1 week, 6 weeks, 3 months and 1 year postoperatively and visit the outpatient department 3 months and 1 year postoperatively for a standardized interview and physical examination. Results: Preoperatively, 25 % (n = 114) of the patients had moderate-to-severe pain (NRS 4–10). Six weeks postoperatively, 3 % (n = 12) of the patients still experienced moderate-to-severe pain. Three months after TEP, only 3 patients (0.6 %) had moderate-to-severe pain, while 83 patients (18 %) experienced mild pain. One year after TEP, 39 patients experienced mild pain (8 %) and 3 patients moderate pain (0.7 %), no patients experienced severe pain after 1 year. Patients with moderate-to-severe pain preoperatively had a higher risk of pain persisting until 3 months and 1 year postoperatively (p = 0.03). In most patients who had pain 3 months postoperatively and were pain-free 1 year after TEP, pain ‘faded out’ at 4–6 months postoperatively. Two patients had a not-painful recurrent hernia, diagnosed 2 and 5 months after TEP repair. Conclusion: Moderate-to-severe pain after TEP hernia repair is self-limiting, with less than 1 % of the patients reporting moderate pain 1 year postoperatively.

Original languageEnglish
Pages (from-to)579-585
Number of pages7
Issue number4
Publication statusPublished - 22 Apr 2015


  • Course of pain
  • Inguinal hernia
  • Postoperative pain
  • TEP repair


Dive into the research topics of 'Pain after totally extraperitoneal (TEP) hernia repair might fade out within a year'. Together they form a unique fingerprint.

Cite this