{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T16:16:06Z","timestamp":1793463366569,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,10]],"date-time":"2012-03-10T00:00:00Z","timestamp":1331337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Incisional hernia is a frequent complication following abdominal surgery. Repairs that include the use of mesh have been associated with decreased recurrence. The aim of the present study was to determine the outcomes and risk factors for chronic pain after ventral hernia repair with underlay placement of a composite polypropylene mesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted from September 2005 to June 2008. The study included consecutive patients who underwent elective incisional hernia repair with underlay composite mesh placement. Postoperative course, recurrence, pain, and patient satisfaction were assessed by an independent observer. Chronic pain was defined as significant pain persisting after 3\u00a0months as assessed using a 10\u2010point numeric scale (\u22653: chronic pain, \u22657: severe pain).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After a mean follow\u2010up period of 24.6\u00a0months, 109 of 121 patients operated on during the period were evaluated. No patients experienced small bowel obstructions, enterocutaneous fistulas, or mesh infections leading to the need for mesh removal. The recurrence rate was 6.1 % at the repair site and 10.5% at another site. Thirty\u2010one patients (28%) had chronic pain and seven patients (6.6%) had severe pain. Affective and nociceptive components were the majority of complaints. Chronic cough was the only variable independently associated with chronic pain in univariate and multivariate analyses (OR = 4.8; <jats:italic>p<\/jats:italic> = 0.007).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Intraperitoneal composite mesh placement after ventral hernia repair is safe with regard to intra\u2010abdominal potential complications. Chronic pain is not uncommon, with chronic cough identified as the major independent predictor.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-012-1523-2","type":"journal-article","created":{"date-parts":[[2012,3,9]],"date-time":"2012-03-09T19:40:27Z","timestamp":1331322027000},"page":"1548-1554","source":"Crossref","is-referenced-by-count":45,"title":["Risk Factors for Chronic Pain after Open Ventral Hernia Repair by Underlay Mesh Placement"],"prefix":"10.1002","volume":"36","author":[{"given":"Caroline","family":"Gronnier","sequence":"first","affiliation":[{"name":"Department of Digestive and Oncological Surgery University Hospital Claude Huriez Regional University Hospital Center Place de Verdun, 59037 Lille Cedex France"},{"name":"University of Lille II Lille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Michel","family":"Wattier","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital Claude Huriez Regional University Hospital Center 59037 Lille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Favre","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery University Hospital Claude Huriez Regional University Hospital Center Place de Verdun, 59037 Lille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Piessen","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery University Hospital Claude Huriez Regional University Hospital Center Place de Verdun, 59037 Lille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Mariette","sequence":"additional","affiliation":[{"name":"Department of Digestive and Oncological Surgery University Hospital Claude Huriez Regional University Hospital Center Place de Verdun, 59037 Lille Cedex France"},{"name":"University of Lille II Lille Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,10]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002689910018"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200008103430603"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2009.12.038"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00311665"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007\u20101323.2001.01893.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.2002.02083.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000141193.08524.e7"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010005\u20100342\u2010x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010008\u20100441\u20106"},{"key":"e_1_2_6_11_2","unstructured":"Le questionnaire QDSA abr\u00e9g\u00e9(1999)ANAES \u00c9valuation et suivi de la douleur chronique chez l\u2019adulte en m\u00e9decine ambulatoire.http:\/\/www.cnrd.fr\/IMG\/pdf\/PEC_dl_ad_ambul.pdf"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(87)91074\u20108"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.12.010"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0304\u20103959(94)90133\u20103"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010003\u20100440\u20100"},{"key":"e_1_2_6_16_2","first-page":"215","article-title":"Treatment of large eventrations. 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