How To Prevent Inguinodynia - After Tension-Free Inguinal Hernia Repair – Our Experience

Abstract

Abstract:

Inguinodynia is persistence of pain for more than 3 months after inguinal hernia operation. Chronic pain may be associated with hyperesthesia or hypoesthesia. This pain may be mild, moderate or severe. Inguinodynia may even effect quality of life. Pain may resolve on its own or after conservative treatment. Sometimes it persists and conservative methods fail then various other modalities of treatment are considered including re-exploration and neurectomy. We performed all 396 inguinal hernia repair by a modified Lichtenstein tension-free procedure. In our series of 396 cases inguinodynia happened only in 3 cases, a real low incidence. Some researchers have reported the incidence of inguinodynia as high as 19 percent 1 year after operation. No case required re-exploration, removal of mesh or neurectomy in our series.

Keywords

Chronic pain, Inguinal hernia, Inguinodynia, inguinal hernia repair