Prognóstico
O prognóstico é excelente após o reparo cirúrgico. Muitas vezes, os pacientes relatam uma melhora em sua qualidade de vida.[110]Magnusson J, Videhult P, Gustafsson U, et al. Relationship between preoperative symptoms and improvement of quality of life in patients undergoing elective inguinal herniorrhaphy. Surgery. 2014 Jan;155(1):106-13.
http://www.surgjournal.com/article/S0039-6060(13)00329-2/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/23973111?tool=bestpractice.com
A incidência de hérnia recorrente com reparo com tela é de menos de 2%.[107]Belyansky I, Tsirline VB, Klima DA, et al. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg. 2011 Nov;254(5):709-14.
http://www.ncbi.nlm.nih.gov/pubmed/21997807?tool=bestpractice.com
[108]Shulman AG, Amid PK, Lichtenstein IL.The safety of mesh repair for primary inguinal hernias: results of 3,019 operations from five diverse surgical sources. Am Surg. 1992 Apr;58(4):255-7.
http://www.ncbi.nlm.nih.gov/pubmed/1586085?tool=bestpractice.com
As complicações incluem hematoma, seroma e parestesias/dormência na virilha, que se dissipam com o tempo.
A dor na virilha crônica, moderada a intensa, ocorre em 10% a 12% dos pacientes após o reparo da hérnia inguinal.[2]HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018 Feb;22(1):1-165.
https://link.springer.com/article/10.1007%2Fs10029-017-1668-x
http://www.ncbi.nlm.nih.gov/pubmed/29330835?tool=bestpractice.com
[111]Poobalan AS, Bruce J, Smith WC, et al. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 2003 Jan-Feb;19(1):48-54.
http://www.ncbi.nlm.nih.gov/pubmed/12514456?tool=bestpractice.com
[112]Bay-Nielsen M, Perkins FM, Kehlet H; Danish Hernia Database. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001 Jan;233(1):1-7.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421158
http://www.ncbi.nlm.nih.gov/pubmed/11141218?tool=bestpractice.com
É mais provável que ocorra em pacientes com dor na virilha no pós-operatório como sintoma primário,[110]Magnusson J, Videhult P, Gustafsson U, et al. Relationship between preoperative symptoms and improvement of quality of life in patients undergoing elective inguinal herniorrhaphy. Surgery. 2014 Jan;155(1):106-13.
http://www.surgjournal.com/article/S0039-6060(13)00329-2/fulltext
http://www.ncbi.nlm.nih.gov/pubmed/23973111?tool=bestpractice.com
[113]Alfieri S, Amid PK, Campanelli G, et al. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011 Jun;15(3):239-49.
http://www.ncbi.nlm.nih.gov/pubmed/21365287?tool=bestpractice.com
[114]Nikkolo C, Murruste M, Vaasna T, et al. Three-year results of randomised clinical trial comparing lightweight mesh with heavyweight mesh for inguinal hernioplasty. Hernia. 2012 Oct;16(5):555-9.
http://www.ncbi.nlm.nih.gov/pubmed/22782366?tool=bestpractice.com
e a incidência é maior após o reparo aberto que após o reparo laparoscópico.[80]Eklund A, Montgomery A, Bergkvist L, et al. Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. 2010 Apr;97(4):600-8.
http://www.ncbi.nlm.nih.gov/pubmed/20186889?tool=bestpractice.com