issn 1652-4063
isbn 978-91-7668-902-8 Örebro Studies in Medicine 78örebro 2012
Doctoral Dissertation
Postoperative aspects of inguinal hernia surgery
Pain and recurrences
Niklas Magnusson
Medical Science with focus on Surgery
2012
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Niklas Magnusson, born 1975, pursued his medical
studies at Umeå University and received his medical degree 2003. During his residency at Mora Hospital, this research project was started in 2005 as a joint venture with a research group at the Karolinska Institute. Since Örebro University Hospital.
Research regarding inguinal hernia is, to a large extent, focused on recurrence and pain, and these outcomes are also the subject of this thesis. The Swedish Hernia Register is partially the data source for Paper II and Paper IV. The Inguinal Pain Questionnaire, developed by the research group, was used for assessment of pain in Paper, I, III and IV. A clinical study of a patient cohort in Mora aimed at revealing relationships between nerve management during hernia surgery and sensory disturbances is presented in Paper I. Paper II explores risk-factors that affect the time frame in which a recurrence develops. In Paper III, the effect of betamethasone was tested in a randomised trial at the hospitals in Ludvika and Mora, showing significantly less pain in the treatment arm. A reoperation is sometimes undertaken to relive chronic pain after previous inguinal hernia surgery. Paper IV describes the techniques used and the results of 111 such procedures.
