Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy?

Heise, Charles P.; Starling, James R.

doi:10.1016/s1072-7515(98)00215-4

Cited by 235 publications

(135 citation statements)

References 11 publications

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“…Heise and Starling demonstrated no correlation between a positive response to a nerve block and the effectiveness of a following neurectomy. [14] Similarly was the case with our patient. Persistent post-neurectomy pain can result from a variety of surgical complications, including excision of the incorrect nerve, suture entrapment, partial division, crushing, or diathermy of the other non-excised nerves.…”

Section: Discussionsupporting

confidence: 85%

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Remedial robot-assisted laparoscopic surgery in the treatment of neuropathic inguinodynia and repair of inguinal hernia

Mohamed

Elsouri

Elmoghrabi

et al. 2016

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Introduction: Inguinodynia or persistent groin pain, is a common postoperative complication of inguinal hernia repair that may interfere with patients' daily activities. Remedial surgery is often required for management. Based on our review of literature, the use of robotically assisted laparoscopy as an option for remedial surgery appears nonexistent. Case presentation: A 54-year-old male patient with a past history of inguinal hernia repair four years ago presented with severe, burning right inguinal pain that peaked 6 months prior to presentation. History was positive for failed multiple analgesic treatment options. Examination revealed tenderness over the right external ring and a prior right inguinal surgical incision with paresthesia along the distribution of the right ilioinguinal nerve. Based on the history and CT findings, the patient was diagnosed with meshoma and ilioinguinal nerve entrapment. Remedial posterior robotic laparoscopic surgery combined with ilioinguinal neurectomy was performed, resulting in complete resolution of pain post-operatively. Conclusions: In our case of post-inguinal hernia repair of neuropathic inguinodynia, laparoscopic robot-assisted surgery combined with ilioinguinal neurectomy led to excellent results.

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Section: Discussionsupporting

confidence: 85%

“…[1] Heise et al demonstrated that mesh removal plus neurectomy led to pain relief in 62% of chronic inguinodynia patients. [14] Ultimately, the results in our patient after combined mesh replacement and ilioingual neurectomy, were excellent.…”

Section: Discussionmentioning

confidence: 67%

Remedial robot-assisted laparoscopic surgery in the treatment of neuropathic inguinodynia and repair of inguinal hernia

Mohamed

Elsouri

Elmoghrabi

et al. 2016

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“…However, many factors have been considered e.g. remaining mesh size & weight, fixation material, excessive scarring and nerve injuries or entrapment by sutures [13] [14]. In attempts of reducing chronic pain, more interest has been recently focused on the mesh material.…”

Section: Discussionmentioning

confidence: 99%

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

El-Bakary¹,

Bouchiba²,

Elakkad³

et al. 2017

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“…from the ilioinguinal and/or genitofemoral nerve), slight to serious inguinal pain, paresthesia, and dysaesthesia. 13,14 Because of these different definitions of pain, comparison between published results is highly problematic. Furthermore, study populations are often heterogeneous, comprising of both open and laparoscopic repairs, primary and recurrent hernias, and varying lengths of follow-up assessment.…”

Section: Discussionmentioning

confidence: 99%

A New Prosthesis in Inguinal Hernia Repair: Results of a Pilot Study

Venditti

Rossi²,

Lisi³

et al. 2016

Surg Res Open J

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Purpose: Prosthetic reinforcement is the gold standard in inguinal hernia repair. One-third of patients complain of post -surgical pain due to irritation and inflammation caused by the mesh and methods of fixation; 4-10% of these will experience severe chronic pain. We performed a prospective single arm study for the assessment of post-operative pain after inguinal hernia repair with a new self-gripping hernia prosthesis. Methods: From December 2011 to December 2013, 44 consecutive patients with primary oblique inguinal hernia underwent to inguinal hernia repair with Proflor TM (Insightra). All patients were preoperatively evaluated by ultrasound and the defect size was < 2 cm. Visual Analog Scale (VAS) was assessed at 7 days and 3-6 months. All patients were included in ultrasound follow up at 7 days and 3-6-12-18-24 months. Results: No sutures or other fixation systems have been used.According to the VAS scale pain was reported in a range from 1 to 3 during the first week. No peri-operative complications occurred. 10 post-operative complications was reported: 3 hematomas (6.8%), 1 ecchymosis (2.2%), 2 seroma (4.5%), 4 hypoaesthesia (9.1%). None of total implants delivered dislodged, as confirmed bythe ultrasounds. Conclusions: Operative and post-operative complication rates were comparable to the literature; chronic pain did not occur. The use of this new prosthesis, which through its design allows fixation without sutures, could be an alternative method to decrease chronic pain after inguinal hernia repair. We acknowledge that further studies are needed.

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Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy?

Cited by 235 publications

References 11 publications

Remedial robot-assisted laparoscopic surgery in the treatment of neuropathic inguinodynia and repair of inguinal hernia

Remedial robot-assisted laparoscopic surgery in the treatment of neuropathic inguinodynia and repair of inguinal hernia

Ultra-Pro Hernia System for Repair of Primary Complex Inguinal Hernia: Should It Be the Technique of Choice?

A New Prosthesis in Inguinal Hernia Repair: Results of a Pilot Study

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