, Volume 14, Issue 2, pp 229–230 | Cite as

A method for the reduction of chronic pain after tension-free repair of inguinal hernia: iliohypogastric neurectomy and subcutaneous transposition of the spermatic cord

  • R. H. Fortelny
  • A. H. Petter Puchner
Letter to the Editor

We thank Caliskan et al. [1] 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) [2]. 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...


Public Health Chronic Pain Hernia Repair Inguinal Hernia Spermatic Cord 
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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Second Department of SurgeryWilhelminenspitalViennaAustria

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