A method for the reduction of chronic pain after tension-free repair of inguinal hernia: iliohypogastric neurectomy and subcutaneous transposition of the spermatic cord
- 96 Downloads
We thank Caliskan et al.  for the presentation of this interesting prospective, randomised, controlled study. The aim of this trial was to assess the postoperative chronic pain in a follow up period of 1 and 6 months postoperatively after classical Lichtenstein technique versus modified Lichtenstein procedure including neurectomy of the iliohypogastric nerve and transposition of the spermatic cord, ilioinguinal nerve and genital branch of the genitofemoral nerve. Although we fully acknowledge the importance of the issue of chronic pain after hernia repair, we feel obliged to make the following comments, which should trigger a consistent and fruitful discussion.
1. Definition of chronic pain:
Chronic pain is defined as pain lasting for 3 months or more by the International Association for the Study of Pain (IASP) . The assessment of pain in this study described as chronic pain was performed at 1 month postoperatively and compared with the results after 6 months. In order to...
KeywordsPublic Health Chronic Pain Hernia Repair Inguinal Hernia Spermatic Cord
- 1.Caliskan K, Nursal TZ, Caliskan E, Parlakgumus A, Yıldırım S, Noyan T (2009) A method for the reduction of chronic pain after tension-free repair of inguinal hernia: iliohypogastric neurectomy and subcutaneous transposition of the spermatic cord. Hernia (in press). doi: 10.1007/s10029-009-0571-5
- 2.Aasvang E, Kehlet H (1986) Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 3:S1–S226Google Scholar
- 7.Alfieri S, Rotondi F, Di Giorgio A, Fumagalli U, Salzano A, Di Miceli D, Ridolfini MP, Sgagari A, Doglietto G; Groin Pain Trial Group (2006) Influence of preservation versus division of ilioinguinal, iliohypogastric, and genital nerves during open mesh herniorrhaphy: prospective multicentric study of chronic pain. Ann Surg 243:553–558CrossRefPubMedGoogle Scholar
- 8.Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403; Epub 2009 Jul 28CrossRefPubMedGoogle Scholar