Combined open and laparoscopic approach to chronic pain following open inguinal hernia repair

Hernia : the Journal of Hernias and Abdominal Wall Surgery
M J RosenB Todd Heniford

Abstract

Chronic groin pain is the most common long-term complication after open inguinal hernia repair. Traditional surgical management of the associated neuralgia consists of injection therapy followed by groin exploration, mesh removal, and nerve transection. The resultant hernia defect may be difficult to repair from an anterior approach. We evaluate the outcomes of a combined laparoscopic and open approach for the treatment of chronic groin pain following open inguinal herniorrhaphy. All patients who underwent groin exploration for chronic neuralgia after a prior open inguinal hernia repair were prospectively analyzed. Patient demographics, type of prior hernia repair, and prior nonoperative therapies were recorded. The operation consisted of a standard three trocar laparoscopic transabdominal preperitoneal hernia repair, followed by groin exploration, mesh removal, and nerve transection. Outcome measures included recurrent groin pain, numbness, hernia recurrence, and complications. Twelve patients (11 male and 1 female) with a mean age of 41 years (range 29-51) underwent combined laparoscopic and open treatment for chronic groin pain. Ten patients complained of unilateral neuralgia, one patient had bilateral complaints, and one pa...Continue Reading

References

Jun 1, 1988·American Journal of Surgery·I L LichtensteinM M Montllor
Jun 1, 1993·The Surgical Clinics of North America·G E Wantz
Nov 1, 1996·Annals of Surgery·J CunninghamN A Hagen
Feb 1, 1997·The British Journal of Surgery·L KrähenbühlM W Büchler
Nov 20, 1997·Anesthesiology·T Callesen, H Kehlet
Oct 13, 1998·Anesthesia and Analgesia·T CallesenH Kehlet
Nov 11, 1998·Journal of the American College of Surgeons·C P Heise, J R Starling
Nov 17, 1998·Journal of the Royal Society of Medicine·J D ButlerA Leach
Dec 14, 1999·The British Journal of Surgery·T CallesenH Kehlet
Jan 5, 2001·Annals of Surgery·M Bay-NielsenUNKNOWN Danish Hernia Database
Mar 8, 2002·Annals of Surgery·UNKNOWN EU Hernia Trialists Collaboration
Jan 7, 2003·The Clinical Journal of Pain·Amudha S PoobalanW Alastair Chambers

❮ Previous
Next ❯

Citations

Jul 22, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Arthur M Kahn, J Andrew Hamlin
Aug 10, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J W MurphyB Silverglide
Apr 5, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Surajit SinhaD DeFriend
Feb 1, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D J LoC M Pugh
Sep 16, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T T NgA M Kahn
Mar 23, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G CampanelliM Canziani
Nov 16, 2012·Journal of Pain Research·Igor Kissin, Simon Gelman
Jul 19, 2011·World Journal of Gastrointestinal Surgery·Abdul Hakeem, Venkatesh Shanmugam
May 23, 2014·Langenbeck's Archives of Surgery·Mads U Werner
Jan 23, 2016·American Journal of Surgery·Philip SunDavid R Farley
Nov 9, 2010·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J RigaudJ-J Labat
Oct 29, 2008·Journal of the American College of Surgeons·Namik OzkanEbru Arabaci
Jul 31, 2007·Journal of the American College of Surgeons·George S FerzliGeorge E Khoury
Jul 1, 2015·Surgical Endoscopy·Adrian E ParkGuy Voeller
Dec 19, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N MagnussonG Sandblom
Nov 7, 2016·World Journal of Surgery·Willem A R ZwaansMarc R M Scheltinga
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Oct 3, 2019·Revista do Colégio Brasileiro de Cirurgiões·Christiano Marlo Paggi ClausLeandro Totti Cavazzola
May 11, 2020·Cirugía española·Raúl Medina VelázquezMaría José Luque García
Sep 3, 2021·Langenbeck's Archives of Surgery·E Beel, F Berrevoet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.