Ceith Nikkolo "Impact of different mesh parameters on chronic pain and foreign body feeling after open inguinal hernia repair" | University of Tartu

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Contacts of UT units

Faculty of Arts and Humanities
Faculty phone: 
+372 737 5341
Faculty address: 
Jakobi 2, rooms 116–121, 51005 Tartu
  • Dean's Office
    Faculty phone: 
    + 372 737 5341
    Faculty address: 
    Jakobi 2, rooms 116–121, 51005 Tartu
  • Institute of History and Archaeology
    Faculty phone: 
    +372 737 5651
    Faculty address: 
    Jakobi 2, 51005 Tartu
  • Institute of Estonian and General Linguistics
    Faculty phone: 
    +372 737 5221
    Faculty address: 
    Jakobi 2, 51005 Tartu
  • Institute of Philosophy and Semiotics
    Faculty phone: 
    +372 737 5314
    Faculty address: 
    Jakobi 2, rooms 309–352, 51005 Tartu
  • Institute of Cultural Research
    Faculty phone: 
    (+372) 737 5223
    Faculty address: 
    Ülikooli 16, 51003 Tartu
  • School of Theology and Religious Studies
    Faculty phone: 
    +372 737 5301
    Faculty address: 
    Ülikooli 18–310, 50090 Tartu
  • College of Foreign Languages and Cultures
    Faculty address: 
    J. Liivi 4, 50409, Tartu
  • Viljandi Culture Academy
    Faculty phone: 
    +372 435 5232
    Faculty address: 
    Posti 1, 71004 Viljandi
Faculty of Social Sciences
Faculty phone: 
+372 737 5957
Faculty address: 
Lossi 36, 51003 Tartu
  • Dean's Office
    Faculty phone: 
    + 372 737 5900
    Faculty address: 
    Lossi 36, 51003 Tartu
  • Institute of Education
    Faculty phone: 
    +372 737 6440
    Faculty address: 
    Salme 1a–29, 50103 Tartu
  • Johan Skytte Institute of Political Studies
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    +372 737 5582
    Faculty address: 
    Lossi 36–301, 51003 Tartu
  • School of Economics and Business Administration
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    Narva mnt 18, 51009 Tartu
  • Institute of Psychology
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Faculty of Medicine
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  • Institute of Biomedicine and Translational Medicine
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    Biomeedikum, Ravila 19, 50411 Tartu
  • Institute of Pharmacy
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  • Institute of Clinical Medicine
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    L. Puusepa 8, 50406 Tartu
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    Ravila 19, 50411 Tartu
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    Faculty phone: 
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    Faculty address: 
    Jakobi 5–205, 51005 Tartu
Faculty of Science and Technology
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Vanemuise 46–208, 51014 Tartu
  • Dean's Office
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    Faculty address: 
    Vanemuise 46–208, 51003 Tartu
  • Institute of Computer Science
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    Narva mnt 18, 51009 Tartu
  • Estonian Marine Institute
    Faculty phone: 
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    Faculty address: 
    Mäealuse 14, 12618 Tallinn
  • Institute of Physics
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  • Institute of Chemistry
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    Faculty address: 
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  • Institute of Molecular and Cell Biology
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  • Tartu Observatory
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  • Institute of Technology
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  • Institute of Ecology and Earth Sciences
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    Vanemuise 46, 51003 Tartu
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    W. Struve 1, 50091 Tartu
  • Youth Academy
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    Uppsala 10, 51003 Tartu
  • Institute of Genomics
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    Faculty address: 
    Riia 23b, 51010 Tartu
  • Museum
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    Lossi 25, 51003 Tartu
  • University of Tartu Natural History Museum and Botanical Garden
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  • University Office in Tallinn
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  • Estates Office
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Ceith Nikkolo "Impact of different mesh parameters on chronic pain and foreign body feeling after open inguinal hernia repair"

Date: 
21.11.2014 - 14:00 to 16:00

Thesis supervisor:
Associate Professor Urmas Lepner, University of Tartu

Opponent:
Professor of Surgery Hannu Paajanen, University of Eastern Finland

Summary:
After the widely used alloplasty in inguinal hernia surgery, the most common complications are chronic pain and foreign body feeling, which can have a major influence on patients' quality of life.

The aims of this study were to evaluate the rate of chronic pain and foreign body feeling after open inguinal hernia repair in case of using different meshes and to clarify which mesh parameters have a significant influence on development of chronic symptoms. Furthermore, the aim was to evaluate patients' quality of life after inguinal hernia repair.

Up to 59.4 % of patients reported having experienced pain during different activities at 6-month follow-up. The feeling of a foreign body in the inguinal region was experienced by up to 47.8 % of patients. According to our studies, the weight, pore size and suture fixation of a mesh do not have a significant impact on development of chronic pain. Considering the high rate of early severe postoperative pain and the association between early severe pain and development of chronic pain, a better postoperative pain control strategy is needed. Significantly less patients experienced pain during different activities at three-year follow-up compared to the results of 6-month follow-up. Therefore, if surgical treatment of chronic pain is considered, it should be postponed for more than one year after the primary operation. In asymptomatic cases postponement of hernia repair until development of complaints should be considered due to the high rate of chronic postoperative pain.

Improvement in quality of life scores after inguinal hernia surgery indicates the importance of prompt elective repair of symptomatic inguinal hernias and demonstrates that inguinal hernias have a greater influence on quality of life than is generally thought.

Regarding the high rate of chronic pain after inguinal hernia repair, other mesh parameters, paritcularly, their combinations should be explored.

Location: 
Prof A. Linkberg Lecture Theatre (Puusepa 8)
Event category: