Article
Surgery
Chi-Wen Lo, Yung-Tai Chen, Fu-Shan Jaw, Chih-Chin Yu, Yao-Chou Tsai
Summary: Younger age and preoperative inguinal pain are the main predictive factors for higher postoperative pain. Younger patients, females, those with preoperative inguinal pain, and those using heavy mesh have a higher risk of chronic pain.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Imogen Watt, Adam Bartlett, John Dunn, Andrew Bowker
Summary: Previous radical prostatectomy should not be an absolute contraindication for totally extraperitoneal laparoscopic inguinal hernia repair. In experienced hands, TEP LIHR can be safely performed for patients with previous RP, with outcomes equivalent to those without previous RP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
A. Olsson, G. Sandblom, U. Franneby, A. Sonden, U. Gunnarsson, U. Dahlstrand
Summary: This study analyzed the relationship between postoperative complications and the risk of developing long-term groin pain after hernia repair surgery. The results showed that acute postoperative pain was a strong predictor for persistent pain. Surgical site infection and hematoma were also predictors for persistent pain in open anterior hernia repair.
Article
Anesthesiology
Ciara Hanley, Karim S. Ladha, Hance A. Clarke, Brian C. Cuthbertson, Duminda N. Wijeysundera
Summary: Postoperative complications are associated with post-surgical pain, and the occurrence of major complications increases the likelihood of patients reporting pain at 30 days and possibly 1 year after surgery.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Surgery
B. T. Miller, J. Scheman, C. C. Petro, L. R. A. Beffa, A. S. Prabhu, M. J. Rosen, D. M. Krpata
Summary: This study examined the prevalence of psychological disorders in patients with chronic postoperative inguinal pain (CPIP). The results showed that CPIP patients often have pre-existing psychological issues such as depression, anxiety, and post-traumatic stress disorder. A multi-specialty approach to CPIP may improve preoperative assessments and identify patients who may benefit from further psychological evaluation and treatment.
Article
Surgery
Anne Dams, Joost Vankeirsbilck, Stephan Poelmans, Ivan Kerschaever, Philippe Borreman, Luc Berwouts, Wim De Mulder, Julien Colle, Anthony Beunis, Vicky Dhooghe, Nele van de Winkel, Mathias Allaeys, Michael Ruyssers, Dorien Haesen, Kurt van der Speeten
Summary: This study evaluated the efficacy of Ifabond (TM) as a mesh fixation method in laparoscopic inguinal hernia repair, and found that it was a safe, reliable, and feasible option.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Mohammed Yunus Shah, Pratik Raut, T. R. V. Wilkinson, Vijay Agrawal
Summary: This study compared laparoscopic total extraperitoneal (TEP) inguinal hernia repair with open Lichtenstein repair and found that laparoscopic TEP had fewer postoperative pain, faster recovery of normal activities, less chronic groin pain, and comparable recurrence rate, despite longer operative time and learning curve.
Review
Surgery
N. van Veenendaal, N. B. Foss, M. Miserez, M. Pawlak, W. A. R. Zwaans, E. K. Aasvang
Summary: This narrative review presents the current knowledge on non-surgical management of chronic postoperative inguinal pain (CPIP) and provides suggestions for daily practice. The study highlights the need for multidisciplinary evaluation and the establishment of a database for optimal analgesic treatments for CPIP.
Article
Geriatrics & Gerontology
Arielle J. Perez, Shannelle Campbell
Summary: Groin hernia repair is a common surgery performed in the United States, with over 700,000 surgeries performed annually. Previous studies have shown that watchful waiting is a reasonable option, but there is an increased risk of mortality after surgery in older patients. This article provides an evidence-based overview on the management and treatment of inguinal hernia repair in older persons, aiding in determining the best approach for surgeons and primary care physicians.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Surgery
Monica Ortenzi, Judith Rapoport Ferman, Alenka Antolin, Omri Bar, Maya Zohar, Ori Perry, Dotan Asselmann, Tamir Wolf
Summary: This study aimed to validate and demonstrate the accuracy of the first reported AI-based computer vision algorithm that automatically recognizes surgical steps in videos. The results showed that the novel AI model was able to provide fully automated video analysis with a high accuracy level, allowing for data-driven insights to improve surgical quality and demonstrate best practices.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
Nafi'u Haladu, Adegoke Alabi, Miriam Brazzelli, Mari Imamura, Irfan Ahmed, George Ramsay, Neil W. Scott
Summary: Laparoscopic repair is associated with a lower risk of chronic groin pain compared with open repair. There is no evidence of differences in recurrence rates between laparoscopic and open repairs.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Monica Ortenzi, Judith Rapoport Ferman, Alenka Antolin, Omri Bar, Maya Zohar, Ori Perry, Dotan Asselmann, Tamir Wolf
Summary: This study aims to validate and demonstrate the accuracy of the first reported AI-based computer vision algorithm that automatically recognizes surgical steps in videos of TEP inguinal hernia repair. The results show that the novel AI model can provide fully automated video analysis with high accuracy, enabling data-driven insights to improve surgical quality and demonstrate best practices.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Surgery
E. Beel, F. Berrevoet
Summary: Chronic postoperative inguinal pain (CPIP) is a common complication with a significant impact on quality of life. Surgical interventions for CPIP, including triple neurectomy, show success rates above 70%. Preoperative sensory mapping is a useful tool for evaluating patients undergoing remedial neurectomy.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Article
Surgery
Ryan Howard, Vidhya Gunaseelan, Chad Brummett, Jennifer Waljee, Michael Englesbe, Dana Telem
Summary: A retrospective cross-sectional study found that 1.5% of patients developed new persistent opioid use after inguinal hernia repair, and filling an opioid prescription in the 30 days before surgery was the most significant risk factor for this complication.
Article
Surgery
Celsa M. Tonelli, Isabela Lorenzo, Corinne Bunn, Sujay Kulshrestha, Zaid M. Abdelsattar, Tyler Cohn, Frederick A. Luchette, Marshall S. Baker
Summary: This study analyzed patients undergoing initial elective inguinal hernia repair and found that outcomes were similar among different surgical approaches, with low recurrence rates and longer operative times for robotic repair.
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
(2022)
Article
Orthopedics
Bruno Mazuquin, Mariana Maia de Oliveira Sunemi, Marcela Ponzio Pinto e Silva, Luis Otavio Zanatta Sarian, Esther Williamson, Julie Bruce
Summary: The study investigated the clinical practice of physical therapists for breast cancer patients undergoing breast reconstruction in the UK and Brazil. Findings revealed that only half of patients receive physical therapy postoperatively. Patients in Brazil have more intensive follow-up with physical therapists compared to those in the UK, with up to three times more face-to-face contact.
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
(2021)
Correction
Medicine, Research & Experimental
Gordon McGregor, Harbinder Sandhu, Julie Bruce, Bartholomew Sheehan, David McWilliams, Joyce Yeung, Christina Jones, Beatriz Lara, Jessica Smith, Chen Ji, Elaine Fairbrother, Stuart Ennis, Peter Heine, Sharisse Alleyne, Jonathan Guck, Emma Padfield, Rachel Potter, James Mason, Ranjit Lall, Kate Seers, Martin Underwood
Letter
Medicine, Research & Experimental
Gordon McGregor, Harbinder Sandhu, Julie Bruce, Bartholomew Sheehan, David McWilliams, Joyce Yeung, Christina Jones, Beatriz Lara, Jessica Smith, Chen Ji, Elaine Fairbrother, Stuart Ennis, Peter Heine, Sharisse Alleyne, Jonathan Guck, Emma Padfield, Rachel Potter, James Mason, Ranjit Lall, Kate Seers, Martin Underwood
Article
Rheumatology
Vikki Wylde, Emily Sanderson, Tim J. Peters, Wendy Bertram, Nicholas Howells, Julie Bruce, Christopher Eccleston, Rachael Gooberman-Hill
Summary: This study described the screening and recruitment process of a randomized trial and evaluated the associations between knee pain and function 3 months after total knee replacement (TKR). The results showed that the severity of pain after TKR was associated with overall health, physical health, pain worry, and satisfaction with surgery outcomes. Functional limitation was associated with depression, pain worry, satisfaction with surgery outcomes, and pain acceptance.
ARTHRITIS CARE & RESEARCH
(2022)
Article
Medicine, General & Internal
Julie Bruce, Bruno Mazuquin, Alastair Canaway, Anower Hossain, Esther Williamson, Pankaj Mistry, Ranjit Lall, Stavros Petrou, Sarah E. Lamb, Sophie Rees, Emma Padfield, Raghavan Vidya, Alastair M. Thompson
Summary: The study evaluated the impact of a structured exercise programme on functional and health-related quality of life outcomes for women at high risk of upper limb disability after breast cancer surgery. The results showed that the exercise programme significantly improved upper limb function and reduced pain for patients.
BMJ-BRITISH MEDICAL JOURNAL
(2021)
Article
Rheumatology
Vikki Wylde, Wendy Bertram, Emily Sanderson, Sian Noble, Nicholas Howells, Tim J. Peters, Andrew D. Beswick, Ashley W. Blom, Andrew J. Moore, Julie Bruce, David A. Walsh, Christopher Eccleston, Shaun Harris, Kirsty Garfield, Simon White, Andrew Toms, Rachael Gooberman-Hill
Summary: This study aimed to evaluate the clinical effectiveness and cost-effectiveness of a new care pathway for chronic pain after total knee replacement. The results of the randomized controlled trial showed that patients in the intervention group, who received the new care pathway, had improved pain outcomes at 12 months compared to those who received usual care alone. Furthermore, the intervention was also cost-effective, providing greater improvement at a lower cost.
LANCET RHEUMATOLOGY
(2022)
Article
Orthopedics
Andrew Moore, Vikki Wylde, Julie Bruce, Nicholas Howells, Wendy Bertram, Christopher Eccleston, Rachael Gooberman-Hill
Summary: The study aimed to evaluate the severity and impact of postoperative pain after total knee replacement and examine the feasibility of the STAR care pathway. The results showed that many patients were unprepared for the severity and persistence of postoperative pain, and experienced lows during their recovery. However, the STAR care pathway was generally accepted by patients and provided support and an opportunity to discuss concerns during the recovery process.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Health Care Sciences & Services
Julie Bruce, Bruno Mazuquin, Pankaj Mistry, Sophie Rees, Alastair Canaway, Anower Hossain, Esther Williamson, Emma J. Padfield, Ranjit Lall, Helen Richmond, Loraine Chowdhury, Clare Lait, Stavros Petrou, Katie Booth, Sarah E. Lamb, Raghavan Vidya, Alastair M. Thompson
Summary: The study aimed to investigate the impact of structured exercise programmes compared to usual care for women undergoing breast cancer surgery on upper limb function, health outcomes, and cost-effectiveness. The results showed that early, supported exercise could improve shoulder function, reduce healthcare costs, and enhance quality of life for breast cancer surgery patients.
HEALTH TECHNOLOGY ASSESSMENT
(2022)
Review
Health Care Sciences & Services
Maria T. Sanchez-Santos, Esther Williamson, Philippa J. A. Nicolson, Julie Bruce, Gary S. Collins, Christian D. Mallen, Frances Griffiths, Angela Garret, Alana Morris, Mandy Slark, Sarah E. Lamb, OPAL Study Team
Summary: Two models were developed and validated to predict the risk of mobility decline among older adults. These models are based on self-reported variables and could serve as simple assessments in primary care after external validation.
JOURNAL OF CLINICAL EPIDEMIOLOGY
(2022)
Article
Multidisciplinary Sciences
Julie Bruce, Blessing Oyedemi, Nick Parsons, Freya Harrison
Summary: This study aimed to assess the safety of a medieval remedy mixture on healthy human skin. The results showed no evidence of serious skin-related adverse events associated with the natural product preparation during the 48-hour observation period.
SCIENTIFIC REPORTS
(2022)
Article
Geriatrics & Gerontology
Julie Bruce, Anower Hossain, Chen Ji, Ranjit Lall, Susanne Arnold, Emma Padfield, Martin Underwood, Sarah E. Lamb
Summary: This study validated the use of a postal risk screener in identifying fall and fracture risk in community-dwelling populations, and found that the addition of variables improved the performance of the screener.
Article
Clinical Neurology
May Ee Png, Matthew L. Costa, Stavros Petrou, Juul Achten, Ruth Knight, Julie Bruce, David J. Keene
Summary: This study estimates the financial cost and pain medication use associated with neuropathic pain after lower limb fracture surgery. It found that healthcare costs were higher among patients with chronic neuropathic pain and opioids, rather than neuropathic pain medications, were commonly prescribed contrary to clinical guidelines.
BRITISH JOURNAL OF PAIN
(2023)
Article
Medicine, General & Internal
Stuart Ennis, Harbinder Kaur Sandhu, Julie Bruce, Kate Seers, Tamar Pincus, Martin Underwood, Gordon McGregor
Summary: A supervised pulmonary hypertension exercise rehabilitation (SPHERe) programme was developed and tested in three phases, including systematic review, stakeholder engagement, and intervention testing. The final intervention incorporates online group exercise and behavioural support sessions supervised by trained practitioners. The effectiveness of the SPHERe rehabilitation intervention is currently being tested in a multicentre randomised controlled trial.
Article
Medicine, Research & Experimental
Gordon McGregor, Becky Evans, Harbinder Sandhu, Jane Simmonds, Shivam Joshi, Gita Devi, Albiona Zhupaj, Nikki Holliday, Gemma Pearce, Chloe Patel, Siew Wan Hee, Richard Powell, Peter Heine, Shilpa Patel, Lesley Kavi, Julie Bruce, Sajad Hayat, Boon Lim, Helen Eftekhari, Sandeep Panikker
Summary: The PULSE study aims to assess the feasibility of conducting a multi-center randomized controlled trial for people with Postural Tachycardia Syndrome (PoTS) using supervised exercise rehabilitation with behavioral and motivational support compared to usual care. Due to the COVID-19 pandemic, the study protocol had to be modified to deliver the interventions remotely online. The study will be the first to evaluate the feasibility of conducting an online exercise rehabilitation program with behavioral and motivational support for PoTS patients.
PILOT AND FEASIBILITY STUDIES
(2022)
Article
Medicine, General & Internal
Ruth M. Mackenzie, Nicola Greenlaw, Abdulmajid Ali, Duff Bruce, Julie Bruce, Eleanor Grieve, Mike Lean, Robert Lindsay, Naveed Sattar, Sally Stewart, Ian Ford, Jennifer Logue
Summary: The study found that an increase in BMI and age is associated with decreased physical functioning and quality of life in individuals seeking bariatric surgery treatment. Policymakers need to consider the health and care needs of these individuals and invest in providing increased access to effective weight management services.
