A Review of Chronic Pain After Inguinal Herniorrhaphy

Abstract

The frequency of chronic pain after inguinal hernia repair was found to be as high as 54%, much more than previously reported. Quality of life of these patients is affected. Chronic pain is reported less often after laparoscopic and mesh repairs. Recurrent hernia repair, preoperative pain, day case surgery, delayed onset of symptoms, and high pain scores in the first week after surgery, however, were identified to be risk factors for the development of chronic pain. Definition of chronic pain was not explicit in the majority of the reviewed studies. Accurate evaluation of the frequency of chronic pain will require standardization of definition and methods of assessment. Prospective studies are required to define the role of risk factors identified in this review.

Inguinal hernias in patients of 50 years and above. Pattern and outcome

“…Chronic groin pain has been reported in many studies (Erhan et al 28 reported 4-6% of patients having chronic pain after Lichtenstein and preperitoneal hernia repair and Phoolbalan et al 29 reported a 10% incidence of pain after inguinal herniorrhaphy). Several risk factors seems to play an important role in the development of chronic groin pain, such as surgeons experience, day care surgeries, intensity of immediate postoperative pain and degree of specialization 28,29 .…”

“…Several risk factors seems to play an important role in the development of chronic groin pain, such as surgeons experience, day care surgeries, intensity of immediate postoperative pain and degree of specialization 28,29 . One author quoted a 20% rate of nerve entrapment 30 but studies rarely mentioned whether surgeons identified the Ilioinguinal nerve or Iliohypogastric nerve during open dissection or not 31 .…”

Preventing Post‐Thoracotomy Pain Syndrome

“…This is consistent with other studies indicating that women experience greater pain than men after surgery. 12,13 DOI:10.1002/MSJ Women continued to report greater discomfort than men after discharge (P < 0.016) but did not differ from men in their level of physical activity. The authors concluded that initiation of thoracic epidural analgesia prior to incision did not significantly impact pain or physical activity.…”

“…17 Ochroch et al randomized 157 patients undergoing elective major open thoracotomy (either classic posterolateral or a muscle-sparing incision) to receive thoracic epidural analgesia initiated prior to incision or at the time of rib approximation. Pain and activity scores were obtained at 4,8,12,24,36, and 48 weeks after surgery. Overall, there were no differences in pain scores between the control and treatment groups during hospitalization (P > 0.165) or after discharge (P > 0.098).…”

Transabdominalinės Preperitoninės (Tapp) Ir Totaliai Ekstraperitoninės (Tep) Laparoskopinių Kirkšninių Išvaržų Plastikos Ankstyvojo Ir Vėlyvojo Pooperacinių Periodų Įvertinimas

“…Poobalanas ir kt. [20] apibūdi-no tris lėtinio skausmo sindromus po kirkšnies plastikos: somatinį, neuropatinį ir visceralinį. Cunninghamas ir kt.…”