Surgical management of chronic pain after inguinal hernia repair

Aasvang, Eske Kvanner; Kehlet, Henrik

doi:10.1002/bjs.5103

Cited by 198 publications

(136 citation statements)

References 40 publications

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“…Therefore, studies are in progress based on well-defined neurophysiological assessments to identify sub-groups with different types of neuroplasticity (wind-up phenomena, allodynia, reduced pressure pain thresholds, hypoesthestia, etc. ), which hopefully will be able to identify patients who can be reoperated [5,6] versus those requiring pharmacological treatment [30].…”

Section: Definition and Terminologymentioning

confidence: 99%

International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

Alfieri

Amid

Campanelli

et al. 2011

Hernia

346

226

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Purpose To provide uniform terminology and definition of post-herniorrhaphy groin chronic pain. To give guidelines to the scientific community concerning the prevention and the treatment of chronic groin and testicular pain. Methods A group of nine experts in hernia surgery was created in 2007. The group set up six clinical questions and continued to work on the answers, according to evidencebased literature. In 2008, an International Consensus Conference was held in Rome with the working group, with an audience of 200 participants, with a view to reaching a consensus for each question.

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Section: Definition and Terminologymentioning

confidence: 99%

International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

Alfieri

Amid

Campanelli

et al. 2011

Hernia

346

226

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“…Scrotal swelling occur more common in age group 40-60yrs, all pt with scrotal swelling were treated with analgesia and scrotal support. Scrotal swelling occurs more common in inguinoscrotal hernia around 22 % (P=0.004) Table (1). Wound hematoma occurs more commonly in age >60 yrs, it occurs more common in patients with recurrent hernia (P=0.020), all patients with wound hematoma were treated conservatively.…”

Section: Discussionmentioning

confidence: 99%

Incidence of complications following open mesh repair for inguinal hernia

Alawad

Khalil²

2014

IJM

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Background: Traditional suture repair of inguinal hernia is fast giving way to routine tension-free mesh repair. In many countries, mesh repair is now more common than suture repair. Objective: To study mesh related complications in the early postoperative period in patient with inguinal hernia. Methods: This cross-sectional study was conducted at Khartoum teaching hospital. One hundred and three patients who had mesh repair for inguinal hernia were the base for this study between January and December 2011 using a structured questionnaire. Results: The mean age of the patients is 43.203 14.41 years (STD). There were 95.1% males (n=98) and 4.9% females (n=5). Tension-free mesh repair was done for 103 patients, 12 patients (11.3%) developed wound hematoma, another 12 patients (11.3%) developed numbness at the site of operations, 11 patients (10.7%) developed scrotal swelling, nine patients (8.7%) developed seroma and four patients (3.9%) developed neuralgia at the site of operations. Conclusion: Mesh repair of inguinal hernias is not free of complications. A larger sample size and further studies are needed to compare outcome of mesh repair in our environment more objectively with traditional inguinal hernia repair. Keywords: Inguinal Hernia; Mesh Repair; Complications.

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“…The initial results will be available by the end of 2010 (22). Neurectomy alone or in combination with mesh removal will be probably the proper option in patients with serious diffi culties with chronic pain (23).…”

Section: Discussionmentioning

confidence: 99%

Comparison of self-gripping mesh with mesh fixation with fibrin-glue in laparoscopic hernia repair (TAPP)

Cambal¹,

Zonča²,

B³

2012

BLL

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Aim:Comparison of self-gripping mesh with fi brin-glue mesh fi xation for laparoscopic hernia repair using TAPP technique. Materials and methods:The trial has a prospective randomized design. The primary end-point was the evaluation of pain at 2 days, 1 month, and 3 months after surgery. The pain occurring 3 months after the surgery was considered as chronic pain. Results:We have compared a group of 50 patients with self-gripping mesh with a group of 50 patients with fi brin glue mesh fi xation using TAPP technique. There was no statistical difference between the basic group parameters (sex distribution, average age). There was no signifi cant difference between the groups in terms of postoperative pain 1 month and 3 months after the surgery (p>0.05). There was no patient with chronic pain at 3-month follow-up in our trial. The mean operation time was 44 minutes in the group with self-gripping mesh and 48.5 minutes in thegroup with fi brin glue mesh fi xation. There was a signifi cant difference between both groups (p=0.006) Conclusion: Both fi xation methods appear to be a well-tolerated alternative to classical methods for mesh fi xation with clips. According to our trial there is no difference in the postoperative pain incidence in selfgripping mesh and fi brin glue mesh fi xation groups for laparoscopic hernia repair. Our data has showed that self-gripping mesh represents a tendency to a faster technique in comparison with fi brin-glue fi xation. Both techniques are easy-to-use. There is no superior technique according to our trial (Tab. 2, Fig. 2

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Surgical management of chronic pain after inguinal hernia repair

Abstract: Chronic pain after hernia repair is a significant problem and there is a need for a definitive assessment of its surgical treatment.

Cited by 198 publications

References 40 publications

International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

Incidence of complications following open mesh repair for inguinal hernia

Comparison of self-gripping mesh with mesh fixation with fibrin-glue in laparoscopic hernia repair (TAPP)

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