Inguinodynia: review of predisposing factors and management

Abstract

Herniorrhaphy is one of the most common surgical procedures, with an estimated 20 million operations performed annually worldwide. One of the common complications associated with this procedure is inguinodynia, defined as pain beyond three months after inguinal hernia surgery. In this review, we have addressed the main aspects of this complication with current articles, published in the last five years. Inguinodynia has a multifactorial nature and studies have shown that its development is related to the surgical technique and intrinsic factors of the patient that imply greater predisposition to this phenomenon. In this regard, it has been discussed which surgical techniques imply a lower incidence of this complication. Many studies have focused on understanding intrinsic features of each patient, both in physical and cognitive aspects, and how the approach of these factors can favor a better post-surgical recovery. The treatment of this condition is still challenging, and there are no established universal guidelines. We believe that due to its multifactorial nature, the treatment is hampered due to the individuality inguinodynia presentations.

A Análise Prospectiva Da Qualidade De Sono E Memória Entre Acadêmicos Da Universidade Do Estado Do Amazonas (Uea-Am) a Partir Da Hipótese Glinfática

“…É uma dor multifatorial, podendo ser causada por dano direito a nervos regionais, por excesso de fibrose relacionados à tela, formação de mesoma, periostite púbica ou "priming hiperalgésico" devido à sensibilização central (BARBOSA et al, 2022).…”

Estudo Epidemiológico Da Hérnia Inguinal No Estado Do Tocantins: Análise De 2018 a 2022.

“…Além dessa abordagem, o reparo laparoscópico tornou-se proeminente devido à sua capacidade de minimizar a dor e reduzir o tempo de internação e recuperação pós-operatória. A herniorrafia laparoscópica apresenta duas abordagens principais: extraperitoneal total (TEP) e transabdominal pré-peritoneal (TAPP) 4 .…”

Safety and efficacy revisited: a systematic review and meta-analysis of glue versus tack mesh fixation in laparoscopic inguinal herniorrhaphy

“…While the TAPP method entails dissecting the abdominal wall, which increases the risk of gastrointestinal injuries, the TEP approach bypasses the abdominal cavity, preventing injury and adhesions (11). The most frequent consequence, inguinodynia (pain following surgery that lasts longer than 3 months) (12), influences surgeons' decisions between adhesive mesh and penetrative tacker techniques (13,14).…”