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The SAGES Manual of Groin Pain pp 221–231Cite as

Chronic Groin Pain Following Posterior Hernia Surgery

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Abstract

Pain after laparoscopic inguinal hernia repair can be divided into acute, occurring immediately after the repair in the distribution of a named nerve, or chronic, pain lasting more than 90 days after repair. The first is handled by immediate surgical intervention, while the second is managed conservatively and is treated aggressively only if it does not abate. Despite knowledge of anatomy and perfection of all the proper techniques, chronic pain can develop in postoperative patients. This chapter deals with the causes, treatments, and ways of preventing chronic pain following posterior inguinal hernia repair.

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References

  1. Annandale T. Case in which a reducible oblique and direct inguinal and femoral hernia existed on the same side and were successfully treated by operation. Edinburgh Med J. 1876;27:1087.

    Google Scholar 

  2. Cheatle GL. An operation for the radical cure of inguinal and femoral hernia. Br Med J. 1920;2:68.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Henry AK. Operation for a femoral hernia by midline extraperitoneal approach. Lancet. 1936;1:531.

    Article  Google Scholar 

  4. Nyhus LM, Condon RE, Harkins HN. Clinical experiences hernia repair for all types of hernia of the groin, with particular reference to the importance of transversalis fascia analogues. Am J Surg. 1960;100:234–44.

    Article  CAS  PubMed  Google Scholar 

  5. Rignault DP. Properitoneal prosthetic inguinal hernioplasty through a Pfannenstiel approach. Surg Gynecol Obstet. 1986;163(5):465–8.

    CAS  PubMed  Google Scholar 

  6. Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am. 1984;64(2):269–85.

    CAS  PubMed  Google Scholar 

  7. Wantz GE, Fischer E. Unilateral giant prosthesis reinforcement of the visceral sac. In: Fitzgibbons RJ, Greenburg AG, editors. Nyhus and Condon’s hernia. 5th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2002. p. 219.

    Google Scholar 

  8. Schultz LS, Graber JN, Peritrafitta J, Hickok DF. Laser laparoscopic herniorrhaphy: a clinical preliminary results. J Laproendosc Surg. 1990;1(1):41–5.

    Article  CAS  Google Scholar 

  9. Felix EL. Laparoscopic inguinal hernia repair. In: Eubanks WS, Swanstrom LS, Soper NJ, editors. Mastery of endoscopic and laparoscopic surgery. 2nd ed. Philadelphia, PA: Lippincott, Williams and Wilkins; 2009. p. 553.

    Google Scholar 

  10. McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc. 1993;7(1):26–8.

    Article  CAS  PubMed  Google Scholar 

  11. Felix EL, Michas CA, Gonzalez Jr MH. Laparoscopic hernioplasty: why does it work? Surg Endosc. 1997;11(2):36–41.

    Article  CAS  PubMed  Google Scholar 

  12. Felix EL, Scott S, Crafton B, Geis P, Sewell R, McKernan B. A Multicenter study: causes of recurrence after laparoscopic hernioplasty. Surg Endosc. 1998;12(3):226–31.

    Article  CAS  PubMed  Google Scholar 

  13. Bittner R, Schmedt CG, Swarz J, Kraft K, Leibl BJ. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg. 2002;89(8):1062–6.

    Article  CAS  PubMed  Google Scholar 

  14. Tamme C, Scheidbach H, Hampe C, Schneider C, Köckerling F. Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc. 2003;17(2):190–5.

    Article  CAS  PubMed  Google Scholar 

  15. Eker HH, Langeveld HR, Klitsie PJ, van’t Riet M, Stassen LP, Weidema WF, et al. Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs. Lichtenstein repair; along term follow-up study. Arch Surg. 2012;147(3):256–60.

    Article  PubMed  Google Scholar 

  16. Singh AN, Banasai VK, Misra MC, Kumar S, Rajeshwari S, Kumar A, et al. Testicular functions, chronic pain, and life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized trial. Surg Endosc. 2012;26(5):1304–17.

    Article  PubMed  Google Scholar 

  17. Langeveld HR, van’t Riet M, Weideman WF, Stassen LP, Stassen LP, Steyerberg EW, Lange J, et al. Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-TRIAL): a randomized controlled trial. Ann Surg. 2010;251(5):819–24.

    Article  PubMed  Google Scholar 

  18. Pollak R, Nyhus LM. Groin hernia. In: Cameron JL, editor. Current surgical therapy. 2nd ed. St Louis: Mosby; 1986. p. 268.

    Google Scholar 

  19. Nienhuijis S, Staal E, Keemers-Geis M, Rosman C, Strobbe L. Pain after open preperitoneal repair versus Lichtenstein randomized trial. World J Surg. 2007;31(9):1751–7.

    Article  Google Scholar 

  20. Sajid MS, Craciunas L, Singh KK, Sains P, Baig MK. Open transinguinal preperitoneal mesh repair of inguinal hernia: a targeted systematic review and meta-analysis of published randomized controlled trials. Gastroenterol Rep. 2013;1(2):127–37.

    Article  Google Scholar 

  21. Condon RE. The anatomy of the inguinal region and its relation to groin hernia. In: Nyhus LM, Condon RE, editors. Hernia. 4th ed. Philadelphia: J.B. Lippincott; 1995. p. 16–72.

    Google Scholar 

  22. Rosenberger RJ, Loeweneck H, Meyer G. The cutaneous nerves encountered during laparoscopic repair of inguinal hernia: new anatomical findings for the surgeon. Surg Endosc. 2000;14(8):731–5.

    Article  CAS  PubMed  Google Scholar 

  23. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis. J Laparoendosc Surg. 1991;1(5):269–77.

    Article  CAS  PubMed  Google Scholar 

  24. Aniibali R, Quinn TH, Fitzgibbons Jr RJ. Anatomy of the inguinal region from the laparoscopic perspective: critical areas for laparoscopic hernia repair. In: Bendavid R, editor. Prostheses and abdominal wall hernias (Medical Intelligence Unit). Austin, Texas: R G Landes; 1994. p. 82.

    Google Scholar 

  25. Tarply JL, Holzman MD. Groin hernia. In: Cameron JL, editor. Current surgical therapy. 8th ed. Philadelphia, PA: Elsevier Mosby; 2004. p. 545.

    Google Scholar 

  26. Koninger J, Redecke J, Butters M. Chronic pain after hernia repair: randomized trial comparing Shouldice, Lichtenstein and Tapp. Langenbecks Arch Surg. 2004;389(5):361–5.

    Article  PubMed  Google Scholar 

  27. Vander Pool AE, Harlarr JJ, den Hoed PT, Weidema WF, van Veen RN. Long-term follow-up evaluation of chronic pain after total extraperitoneal repair of primary and recurrent inguinal hernia. Surg Endosc. 2010;24(7):1707–11.

    Article  CAS  Google Scholar 

  28. Markos V, Brown EF. CT herniography in the diagnosis of occult hernias. Clin Radiol. 2005;60(2):251–6.

    Article  CAS  PubMed  Google Scholar 

  29. Aasvang EK, Kehlet H. The effect of mesh removal and neurectomy on persistent post-hernotomy pain. Ann Surg. 2009;249(2):327–34.

    Article  PubMed  Google Scholar 

  30. Tam KW, Liang HH, Chai CY. Outcomes of staple fixation of mesh versus nonfixation in laparoscopic total extraperitoneal inguinal hernia repair: a meta-analysis of randomized controlled trials. World J Surg. 2010;34(12):3065–74.

    Article  PubMed  Google Scholar 

  31. Horisberger K, Jung MK, Zing U, Schob O. Influence of type of fixation in endoscopic totally extraperitoneal hernia repair (TEP) on long term quality of life. World J Surg. 2012;37(6):1249–57.

    Article  Google Scholar 

  32. Berney CR, Yeo AE. Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal hernia approach: a review of 640 repairs. Hernia. 2013;17(6):709–17.

    Article  CAS  PubMed  Google Scholar 

  33. Fumagalli Romario U, Puccetti F, Elmore U, Massaron S, Rosati R. Self-Gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison. Surg Endosc. 2013;27(5):1798–802.

    Article  PubMed  Google Scholar 

  34. Birk D, Hess S, Garcia-Prado C. Low recurrence and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGrip mesh: clinical outcomes of 220 hernias with a mean follow-up at 23 months. Hernia. 2013;17(3):313–20.

    Article  CAS  PubMed  Google Scholar 

  35. ODwyer PJ, Kingsnorth AN, Molloy RG, Small PK, Lammers B, Horeyseck G. Randomized clinical trial assessing impact of a lightweight or heavyweight mesh on chronic pain after inguinal hernia repair. Br J Surg. 2005;92(2):166–70.

    Article  CAS  Google Scholar 

  36. Nikkolo C, Murruste M, Vaasna T, Seepter H, Tikk T, Lepner U. Three-year results of a randomized clinical trial comparing lightweight mesh for inguinal hernioplasty. Hernia. 2012;16(5):555–9.

    Article  CAS  PubMed  Google Scholar 

  37. Chui LB, Ng WT, Sze YS, Yuen KS, Wong YT, Kong CK. Prospective randomized controlled trial comparing lightweight versus heavyweight mesh in chronic pain incidence after TEP repair of bilateral inguinal hernia. Surg Endosc. 2010;24(11):2735–8.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Marian Regional Medical Center, Santa Maria, CA, USA

    Edward L. Felix MD, FACS

Authors
  1. Edward L. Felix MD, FACS
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Correspondence to Edward L. Felix MD, FACS .

Editor information

Editors and Affiliations

  1. Mount Sinai School of Medicine, Laparoscopic Surgical Center of New York, New York, New York, USA

    Brian P. Jacob

  2. Division of General Surgery, Lichtenstein Amid Hernia Clinic at UCLA, Santa Monica, California, USA

    David C. Chen

  3. FSU College of Medicine, Advanced Hernia Solutions, Daytona Beach, Florida, USA

    Bruce Ramshaw

  4. Beverly Hills Hernia Center, Beverly Hills, California, USA

    Shirin Towfigh

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© 2016 Springer International Publishing Switzerland

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Felix, E.L. (2016). Chronic Groin Pain Following Posterior Hernia Surgery. In: Jacob, B., Chen, D., Ramshaw, B., Towfigh, S. (eds) The SAGES Manual of Groin Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-21587-7_16

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  • DOI: https://doi.org/10.1007/978-3-319-21587-7_16

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21586-0

  • Online ISBN: 978-3-319-21587-7

  • eBook Packages: MedicineMedicine (R0)

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