Postherniorrhaphy groin pain and how to avoid it

被引:36
作者
Ferzli, George S. [1 ,2 ]
Edwards, Eric [3 ]
Al-Khoury, Georges
Hardin, RoseMarie [2 ]
机构
[1] Lutheran Med Ctr, Dept Surg, Brooklyn, NY 11201 USA
[2] SUNY Hlth Sci Ctr, Dept Surg, Brooklyn, NY 11203 USA
[3] St Mary Hosp, Langhorne, PA 19047 USA
关键词
D O I
10.1016/j.suc.2007.10.006
中图分类号
R61 [外科手术学];
学科分类号
摘要
Groin pain following inguinal hernia repair remains a challenge to most general surgeons. Prevention of groin pain may be the most effective solution to this management problem and necessitates careful anatomic dissection and precise knowledge of surgical anatomy of the groin as well as potential pitfalls of surgical intervention. When complications arise, a period of watchful waiting is warranted, but surgical intervention with triple neurectomy offers the most definitive resolution of symptoms. This article aims to provide a thorough review of pertinent anatomic landmarks for the proper identification of the nerves that, if injured, result in chronic groin pain and to provide a treatment algorithm for patients suffering with this morbidity.
引用
收藏
页码:203 / +
页数:16
相关论文
共 35 条
[11]   Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up [J].
Douek, M ;
Smith, G ;
Oshowo, A ;
Stoker, DL ;
Wellwood, JM .
BRITISH MEDICAL JOURNAL, 2003, 326 (7397) :1012-1013
[12]   Testicular pain after inguinal hernia repair: An approach to resection of the genital branch of genitofemoral nerve [J].
Ducic, I ;
Dellon, AL .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2004, 198 (02) :181-184
[13]   Prospective randomized study of stapled versus unstapled mesh in a laparoscopic preperitoneal inguinal hernia repair [J].
Ferzli, GS ;
Frezza, EE ;
Pecoraro, AM ;
Ahern, KD .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 1999, 188 (05) :461-465
[14]   Risk factors for long-term pain after hernia surgery [J].
Franneby, Ulf ;
Sandblom, Gabriel ;
Nordin, Par ;
Nyren, Olof ;
Gunnarsson, Ulf .
ANNALS OF SURGERY, 2006, 244 (02) :212-219
[15]   Five-year follow-up of a randomized trial to assess pain and numbness after laparoscopic or open repair of groin hernia [J].
Grant, AM ;
Scott, NW ;
O'Dwyer, PJ .
BRITISH JOURNAL OF SURGERY, 2004, 91 (12) :1570-1574
[16]   Mesh inguinodynia: A new clinical syndrome after inguinal herniorrhaphy? [J].
Heise, CP ;
Starling, JR .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 1998, 187 (05) :514-518
[17]   Chronic pain after hernia repair:: a randomized trial comparing Shouldice, Lichtenstein and TAPP [J].
Köninger, J ;
Redecke, J ;
Butters, M .
LANGENBECKS ARCHIVES OF SURGERY, 2004, 389 (05) :361-365
[18]   Tack entrapment of the ilioinguinal nerve during laparoscopic hernia repair [J].
Lantis, JC ;
Schwaitzberg, SD .
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A, 1999, 9 (03) :285-289
[19]   MR imaging following herniography in patients with unclear groin pain [J].
Leander, P ;
Ekberg, O ;
Sjöberg, S ;
Kesek, P .
EUROPEAN RADIOLOGY, 2000, 10 (11) :1691-1696
[20]   Surgical management of groin pain of neural origin [J].
Lee, CH ;
Dellon, AL .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2000, 191 (02) :137-142