Chronic Groin Pain After Inguinal Hernia Repair
The report from the danish hernia data base group 4 suggests that in current practice the incidence of chronic pain 1 year after groin hernia repair may be approximately 29.
Chronic groin pain after inguinal hernia repair. That number is unexpectedly high and certainly will gain the attention of all surgeons who repair hernias. Inguinal hernia repair is common. However some patients end up. How does chronic pain after hernia surgery occur.
The anatomy of an inguinal hernia concerns many men. Chronic postoperative hernia pain also known as post herniorrhaphy neuralgia is defined as a nerve related pain which persists for more than three months and is unrelated to any other cause. Post herniorrhaphy pain syndrome or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. This may last anywhere from 2 14 days but is almost always gone by the 3rd or 4th week after surgery.
It accounts for about 800 000 surgeries performed in the u s. Chronic groin pain is defined as pain that is present for more than 3 months after the inguinal hernia surgery. And most patients feel better by a few weeks after surgery. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain 10 surpasses recurrence 2 and is an important measure of success.
Chronic groin pain can occur in more than 15 of patients who have this surgery. What is chronic groin pain after inguinal hernia repair. Two of the risk factors include significant pain before the surgery and being under 50 years old. It is not all that uncommon a condition particularly for those who have undergone inguinal groin hernia surgery.
The typical recovery after a laparoscopic inguinal hernia repair is associated with mild to moderate incisional pain and mild groin discomfort. Chronic pain after inguinal hernia surgery occurs in approximately 13 of patients. Wondering how long does the pain last after an inguinal hernia repair. Most do not cotton to an incision in the pubic area close to the sexual organs.
Chronic pain after groin hernia repair is a significant problem and it is unclear whether or not lightweight meshes help. This national register based study investigated whether patients who underwent open anterior mesh inguinal hernia repair with lightweight mesh had less chronic pain than those who had hernia repair with heavyweight mesh. The main cause of pain after hernia surgery is mesh placement near nerves. Patients undergoing elective inguinal hernioplasty in victoria hospital from november.