Skip to main content
Log in

Invited commentary: persistent pain after inguinal hernia repair: what do we know and what do we need to know?

  • Comment
  • Published:
Hernia Aims and scope Submit manuscript

The Original Article was published on 22 March 2013

The Original Article was published on 15 March 2013

The Original Article was published on 14 March 2013

The Original Article was published on 15 February 2013

The Original Article was published on 27 September 2012

The Original Article was published on 08 August 2012

The Original Article was published on 12 July 2012

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Kehlet H (2008) Chronic pain after groin hernia repair. Br J Surg 95(2):135–136

    Article  PubMed  CAS  Google Scholar 

  2. Kehlet H, Bay-Nielsen M, Kingsnorth A (2002) Chronic postherniorrhaphy pain—a call for uniform assessment. Hernia 6(4):178–181

    Article  PubMed  CAS  Google Scholar 

  3. Franneby U, Gunnarsson U, Andersson M, Heuman R, Nordin P, Nyren O et al (2008) Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair. Br J Surg 95(4):488–493

    Article  PubMed  CAS  Google Scholar 

  4. McCarthy M Jr, Jonasson O, Chang CH, Pickard AS, Giobbie-Hurder A, Gibbs J et al (2005) Assessment of patient functional status after surgery. J Am Coll Surg 201(2):171–178

    Article  PubMed  Google Scholar 

  5. Heniford BT, Walters AL, Lincourt AE, Novitsky YW, Hope WW, Kercher KW (2008) Comparison of generic versus specific quality-of-life scales for mesh hernia repairs. J Am Coll Surg 206(4):638–644

    Article  PubMed  Google Scholar 

  6. Aasvang EK, Mohl B, Kehlet H (2007) Ejaculatory pain: a specific postherniotomy pain syndrome? Anesthesiology 107(2):298–304

    Article  PubMed  Google Scholar 

  7. Bischoff JM, Linderoth G, Aasvang EK, Werner MU, Kehlet H (2012) Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study. Surg Endosc 26(4):979–983

    Article  PubMed  Google Scholar 

  8. Loos MJ, Roumen RM, Scheltinga MR (2007) Classifying post-herniorrhaphy pain syndromes following elective inguinal hernia repair. World J Surg 31(9):1760–1765

    Article  PubMed  CAS  Google Scholar 

  9. Aasvang EK, Brandsborg B, Jensen TS, Kehlet H (2010) Heterogeneous sensory processing in persistent postherniotomy pain. Pain 150(2):237–242

    Article  PubMed  Google Scholar 

  10. Linderoth G, Kehlet H, Aasvang EK, Werner MU (2011) Neurophysiological characterization of persistent pain after laparoscopic inguinal hernia repair. Hernia 15(5):521–529

    Article  PubMed  CAS  Google Scholar 

  11. Kalliomaki ML, Sandblom G, Gunnarsson U, Gordh T (2009) Persistent pain after groin hernia surgery: a qualitative analysis of pain and its consequences for quality of life. Acta Anaesthesiol Scand 53(2):236–246

    Article  PubMed  Google Scholar 

  12. von Hehn CA, Baron R, Woolf CJ (2012) Deconstructing the neuropathic pain phenotype to reveal neural mechanisms. Neuron 73(4):638–652

    Article  Google Scholar 

  13. Vlassakov KV, Narang S, Kissin I (2011) Local anesthetic blockade of peripheral nerves for treatment of neuralgias: systematic analysis. Anesth Analg 112(6):1487–1493

    Article  PubMed  CAS  Google Scholar 

  14. Bischoff JM, Koscielniak-Nielsen ZJ, Kehlet H, Werner MU (2012) Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial. Anesth Analg 114(6):1323–1329

    Article  PubMed  Google Scholar 

  15. Aasvang EK, Gmaehle E, Hansen JB, Gmaehle B, Forman JL, Schwarz J et al (2010) Predictive risk factors for persistent postherniotomy pain. Anesthesiology 112(4):957–969

    Article  PubMed  Google Scholar 

  16. Young EE, Lariviere WR, Belfer I (2012) Genetic basis of pain variability: recent advances. J Med Genet 49(1):1–9

    Article  PubMed  Google Scholar 

  17. Dominguez CA, Kalliomaki M, Gunnarsson U, Moen A, Sandblom G, Kockum I et al (2013) The DQB1 *03:02 HLA haplotype is associated with increased risk of chronic pain after inguinal hernia surgery and lumbar disc herniation. Pain 154(3):427–433

    Article  PubMed  CAS  Google Scholar 

  18. Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA (2012) Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain 28(9):819–841

    Article  PubMed  Google Scholar 

  19. Katz J, Clarke H, Seltzer Z (2011) Review article: Preventive analgesia: quo vadimus? Anesth Analg 113(5):1242–1253

    Article  PubMed  Google Scholar 

  20. Dahl JB, Kehlet H (2011) Preventive analgesia. Curr Opin Anaesthesiol 24(3):331–338

    Article  PubMed  Google Scholar 

  21. Koning GG, de Vries J, Borm GF, Koeslag L, Vriens PW, van Laarhoven CJ (2012) Health status one year after transinguinal preperitoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study. Hernia [Epub ahead of print]

  22. Li J, Ji Z, Cheng T (2012) Lightweight versus heavyweight in inguinal hernia repair: a meta-analysis. Hernia 16(5):529–539

    Article  PubMed  CAS  Google Scholar 

  23. Sajid MS, Leaver C, Baig MK, Sains P (2012) Systematic review and meta-analysis of the use of lightweight versus heavyweight mesh in open inguinal hernia repair. Br J Surg 99(1):29–37

    Article  PubMed  CAS  Google Scholar 

  24. Smietanski M, Smietanska IA, Modrzejewski A, Simons MP, Aufenacker TJ (2012) Systematic review and meta-analysis on heavy and lightweight polypropylene mesh in Lichtenstein inguinal hernioplasty. Hernia 16(5):519–528

    Article  PubMed  CAS  Google Scholar 

  25. de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G et al (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100(6):735–742

    Article  PubMed  Google Scholar 

  26. Campanelli G, Pascual MH, Hoeferlin A, Rosenberg J, Champault G, Kingsnorth G et al (2012) Randomized, controlled, blinded trial of tisseel/tissucol for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: results of the TIMELI trial. Ann Surg 255(4):650–657

    Article  PubMed  Google Scholar 

  27. Shaikh FA, Alvi AR, Jiwani AS, Murtaza G (2013) Recurrence and chronic pain after mesh fixation with skin staples versus sutures in Lichtenstein’s inguinal hernioplasty: a retrospective cohort study. Hernia [Epub ahead of print]

  28. Birk D, Hess S, Garcia-Pardo C (2013) Low recurrence rate and low chronic pain associated with inguinal hernia repair by laparoscopic placement of Parietex ProGrip mesh: clinical outcomes of 220 hernias with mean follow-up at 23 months. Hernia [Epub ahead of print]

  29. Tolver MA, Strandfelt P, Rosenberg J, Bisgaard T (2012) Female gender is a risk factor for pain, discomfort, and fatigue after laparoscopic groin hernia repair. Hernia [Epub ahead of print]

  30. Reinpold WM, Nehls J, Eggert A (2011) Nerve management and chronic pain after open inguinal hernia repair: a prospective two phase study. Ann Surg 254(1):163–168

    Article  PubMed  Google Scholar 

  31. Alfieri S, Amid PK, Campanelli G, Izard H, Kehlet G, Wijsmuller AR et al (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15(3):239–249

    Article  PubMed  CAS  Google Scholar 

  32. Smeds S, Lofstrom L, Eriksson O (2010) Influence of nerve identification and the resection of nerves ‘at risk’ on postoperative pain in open inguinal hernia repair. Hernia 14(3):265–270

    Article  PubMed  CAS  Google Scholar 

  33. Hsu W, Chen CS, Lee HC, Liang HH, Kuo LJ, Wei PL et al (2012) Preservation versus division of ilioinguinal nerve on open mesh repair of inguinal hernia: a meta-analysis of randomized controlled trials. World J Surg 36(10):2311–2319

    Article  PubMed  Google Scholar 

  34. Johner A, Faulds J, Wiseman SM (2011) Planned ilioinguinal nerve excision for prevention of chronic pain after inguinal hernia repair: a meta-analysis. Surgery 150(3):534–541

    Article  PubMed  Google Scholar 

  35. Thomassen I, van Suijlekom JA, van de Gaag A, Ponten JE, Nienhuijs SW (2012) Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for chronic pain after inguinal hernia repair. Hernia [Epub ahead of print]

  36. Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain. Cochrane Database Syst Rev. 2008(3):CD003222

  37. Possover M (2011) Use of the LION procedure on the sensitive branches of the lumbar plexus for the treatment of intractable postherniorrhaphy neuropathic inguinodynia. Hernia [Epub ahead of print]

  38. Werner MU, Bischoff JM, Rathmell JP, Kehlet H (2012) Pulsed radiofrequency in the treatment of persistent pain after inguinal herniotomy: a systematic review. Reg Anesth Pain Med 37(3):340–343

    Article  PubMed  Google Scholar 

  39. Kastler A, Aubry S, Piccand V, Hadjidekov G, Tiberghien F, Kastler B (2012) Radiofrequency neurolysis versus local nerve infiltration in 42 patients with refractory chronic inguinal neuralgia. Pain Physician 15(3):237–244

    PubMed  Google Scholar 

  40. Bischoff JM, Enghuus C, Werner MU, Kehlet H (2013) Long-term follow-up after mesh removal and selective neurectomy for persistent inguinal postherniorrhaphy pain. Hernia [Epub ahead of print]

  41. Campanelli G, Bertocchi V, Cavalli M, Bombini G, Biondi A, Tentorio T et al (2013) Surgical treatment of chronic pain after inguinal hernia repair. Hernia [Epub ahead of print]

  42. Levine LA (2008) Microsurgical denervation of the spermatic cord. J Sex Med 5(3):526–529

    Article  PubMed  Google Scholar 

  43. Loos MJ, Scheltinga MR, Roumen RM (2010) Tailored neurectomy for treatment of post herniorrhaphy inguinal neuralgia. Surgery 147(2):275–281

    Article  PubMed  Google Scholar 

  44. Amid PK, Chen DC (2011) Surgical treatment of chronic groin and testicular pain after laparoscopic and open preperitoneal inguinal hernia repair. J Am Coll Surg 213(4):531–536

    Article  PubMed  Google Scholar 

  45. Muto CM, Pedana N, Scarpelli S, Galardo R, Guida G, Schiavone V (2005) Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach. Surg Endosc 19(7):974–976

    Article  PubMed  CAS  Google Scholar 

  46. Giger U, Wente MN, Buchler MW, Krahenbuhl S, Lerut J, Krahenbuhl L (2009) Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery. Br J Surg 96(9):1076–1081

    Article  PubMed  CAS  Google Scholar 

  47. Song JW, Wolf JS Jr, McGillicuddy JE, Bhangoo S, Yang LJ (2011) Laparoscopic triple neurectomy for intractable groin pain: technical report of 3 cases. Neurosurgery 68(2 Suppl operative):339–346

    PubMed  Google Scholar 

  48. Gilron I, Johnson AP (2010) Economics of chronic pain: How can science guide health policy? Can J Anaesth 57(6):530–538

    Article  PubMed  Google Scholar 

  49. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403

    Article  PubMed  CAS  Google Scholar 

  50. Deumens R, Steyaert A, Forget P, Schubert M, Lavand’homme P, Hermans E et al (2013) Prevention of chronic postoperative pain: Cellular, molecular, and clinical insights for mechanism-based treatment approaches. Prog Neurobiol [Epub ahead of print]

  51. Kehlet H, Jensen TS, Woolf CJ (2006) Persistent postsurgical pain: risk factors and prevention. Lancet 367(9522):1618–1625

    Article  PubMed  Google Scholar 

  52. Stokvis A, Coert JH, van Neck JW (2010) Insufficient pain relief after surgical neuroma treatment: Prognostic factors and central sensitisation. J Plast Reconstr Aesthet Surg 63(9):1538–1543

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to H. Kehlet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kehlet, H., Roumen, R.M., Reinpold, W. et al. Invited commentary: persistent pain after inguinal hernia repair: what do we know and what do we need to know?. Hernia 17, 293–297 (2013). https://doi.org/10.1007/s10029-013-1109-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-013-1109-4

Keywords

Navigation