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Management of Inguinal Hernia Recurrences (When Pain Is the Primary Symptom)

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Abstract

Recurrence after inguinal hernia repair occurs in 5 % patients, while chronic pain affects 10 % of patients. Chronic pain can be debilitating, and a multidisciplinary approach to management is often necessary. Pain associated with recurrence requires an understanding of the initial operative approach. Surgical management includes repair of the recurrent inguinal hernia, neurectomy, and mesh removal. Repair of recurrence leading to resolution of pain is successful in over 80 % of patients.

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References

  1. Bjurstrom MF, Nicol AL, Amid PK, Chen DC. Pain control following inguinal herniorrhaphy: current perspectives. J Pain Res. 2014;7:277–90.

    PubMed Central  PubMed  Google Scholar 

  2. Rosen MJ, Novitsky YW, Cobb WS, Kercher KW, Heniford BT. Combined open and laparoscopic approach to chronic pain following open inguinal hernia repair. Hernia. 2006;10(1):20–4.

    Article  CAS  PubMed  Google Scholar 

  3. Chatzimavroudis G, Papaziogas B, Koutelidakis I, Galanis I, Atmatzidis S, Christopoulos P, et al. Lichtenstein technique for inguinal hernia repair using polypropylene mesh fixed with sutures vs. self-fixating polypropylene mesh: a prospective randomized comparative study. Hernia. 2014;18(2):193–8.

    Article  CAS  PubMed  Google Scholar 

  4. Ferzli GS, Edwards ED, Khoury GE. Chronic pain after inguinal herniorrhaphy. J Am Coll Surg. 2007;205(2):333–41.

    Article  PubMed  Google Scholar 

  5. Nienhuijs SW, Rosman C, Strobbe LJ, Wolff A, Bleichrodt RP. An overview of the features influencing pain after inguinal hernia repair. Int J Surg. 2008;6(4):351–6.

    Article  CAS  PubMed  Google Scholar 

  6. Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons Jr R, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350(18):1819–27.

    Article  CAS  PubMed  Google Scholar 

  7. Lange JF, Kaufmann R, Wijsmuller AR, Pierie JP, Ploeg RJ, Chen DC, Amid PK. An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia. 2015;19(1):33–43.

    Article  CAS  PubMed  Google Scholar 

  8. Vuilleumier H, Hubner M, Demartines N. Neuropathy after herniorrhaphy: indication for surgical treatment and outcome. World J Surg. 2009;33(4):841–5.

    Article  PubMed  Google Scholar 

  9. Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med. 1997;336(22):1541–7.

    Article  CAS  PubMed  Google Scholar 

  10. Burcharth J, Pommergaard HC, Bisgaard T, Rosenberg J. Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surg Innov. 2015;22(3):303–17. 2014 Sep 30. pii: 1553350614552731.

    Article  PubMed  Google Scholar 

  11. Amid PK. A 1-stage surgical treatment for postherniorrhaphy neuropathic pain: triple neurectomy and proximal end implantation without mobilization of the cord. Arch Surg. 2002;137(1):100–4.

    Article  PubMed  Google Scholar 

  12. Courtney CA, Duffy K, Serpell MG, O’Dwyer PJ. Outcome of patients with severe chronic pain following repair of groin hernia. Br J Surg. 2002;89(10):1310–4.

    Article  CAS  PubMed  Google Scholar 

  13. Amid PK, Chen DC. Surgical treatment of chronic groin and testicular pain after laparoscopic and open preperitoneal inguinal hernia repair. J Am Coll Surg. 2011;213(4):531–6.

    Article  PubMed  Google Scholar 

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Correspondence to Jin S. Yoo MD, FACS .

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© 2016 Springer International Publishing Switzerland

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Seymour, K.A., Yoo, J.S. (2016). Management of Inguinal Hernia Recurrences (When Pain Is the Primary Symptom). 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_22

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  • DOI: https://doi.org/10.1007/978-3-319-21587-7_22

  • 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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