Chronic Pain After Laparoscopic Inguinal Hernia Repair
The typical recovery after a laparoscopic inguinal hernia repair is associated with mild to moderate incisional pain and mild groin discomfort.
Chronic pain after laparoscopic inguinal hernia repair. However some patients end up. In conclusion independent which mesh was implanted still 5 of the patients are suffering from discomfort after five years. The subjects of this nationwide cross sectional questionnaire study were adults who underwent laparoscopic mesh repair of an inguinal or a femoral hernia. Chronic pain after laparoscopic inguinal hernia repair is an interdisciplinary global problem.
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. Chronic groin pain can occur in more than 15 of patients who have this surgery. And most patients feel better by a few weeks after surgery. The purpose of this study was to assess the prevalence of chronic pain 1 5 years after laparoscopic groin hernia repair.
What is chronic groin pain after inguinal hernia repair. Urological affections like dysejaculation dysuria and touchsensitiveness are the most described chronic symptoms. It accounts for about 800 000 surgeries performed in the u s. The reported incidence of chronic pain in patients who underwent laparoscopic hernia repair is a serious.
This may last anywhere from 2 14 days but is almost always gone by the 3rd or 4th week after surgery. The incidence of chronic pain after inguinal hernia has been estimated to be between 1 and 19 4 9 10 in the present study an internationally accepted standard definition of pain pain beyond 3 months was used 7 we observed chronic severe pain in nine percent of patients. Background chronic postherniorrhaphy groin pain is defined as pain lasting 6 months after surgery which is one of the most important complications occurring after inguinal hernia repair which occurs with greater frequency than previously thought. 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.
The aim of this prospective randomized single blinded clinical trial was to compare the incidence of chronic pain after laparoscopic transabdominal preperitoneal hernia repair tapp using a 35 g m 2 titanized polypropylene mesh and a 16 g m 2 titanized polypropylene mesh. It is not all that uncommon a condition particularly for those who have undergone inguinal groin hernia surgery.