Inguinal Hernia: Recurrences, Tailored Surgery & Pubic Inguinal Pain Syndrome (Sportsman Hernia)

Hernia ◽  
2015 ◽  
Vol 19 (S1) ◽  
pp. S167-S175
Author(s):  
S. G. Shapovalyants ◽  
A. I. Michalev ◽  
M. E. Timofeev ◽  
V. G. Polushkin ◽  
V. V. Volkov ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Pain Syndrome ◽  
Inguinal Pain

scholarly journals COMPARATIVE STUDY OF INGUINAL HERNIA REPAIR WITH PLACEMENT OF MESH ANTERIOR AND POSTERIOR TO FASCIA TRANSVERSALIS IN CASES OF UNILATERAL INGUINAL HERNIA

2020 ◽  
pp. 39-41
Author(s):  
Angshuman Mukherjee ◽  
Dhrubajyoti Maulik
Keyword(s):  
Inguinal Hernia ◽  
Wound Complications ◽  
Hernia Surgery ◽  
Mesh Placement ◽  
Unilateral Inguinal Hernia ◽  
Fascia Transversalis ◽  
Inguinal Pain ◽  
Duration Of Surgery ◽  
Pain Duration ◽  
Superiority Trial

Background: Since inception hernia surgery evolved a lot and achieved the gold standard of Lichtenstein hernioplasty. Chronic post-surgical inguinal pain and mesh related wound complications are still issues of concern for surgeons. To minimize these problems different modifications are being evaluated worldwide. OBJECTIVE: To compare the incidence of post-surgical chronic inguinal pain duration of surgery between two different techniques of mesh placement, one is placing the mesh anterior to Fascia Transversalis and other is placing the mesh posterior to Fascia Transversalis. STUDY DESIGN: Randomized superiority trial done among patients selected from opd and divided in two groups undergone hernioplasty by two different techniques of mesh placement. MATERIALS AND METHODS: Each group of patients contained fifty patients of 18 to 65 years of age with unilateral inguinal hernia. Duration of surgery recorded and post-surgical chronic inguinal pain evaluated at 2 weeks 2 months 4 months and 6 months after surgery. CONCLUSION: The study showed that placement of mesh posterior to fascia tranversalis gave better result than placing it anterior to FT in respect of post operative chronic pain but with a longer operative duration.

AN ILIO-INGUINAL PAIN SYNDROME

The Lancet ◽  
1966 ◽  
Vol 288 (7468) ◽  
pp. 850
Keyword(s):  
Pain Syndrome ◽  
Inguinal Pain

Pubic Inguinal Pain Syndrome (PIPS)

2018 ◽  
pp. 367-373
Author(s):  
Giampiero Campanelli ◽  
Piero Giovanni Bruni ◽  
Francesca Lombardo ◽  
Marta Cavalli
Keyword(s):  
Pain Syndrome ◽  
Inguinal Pain

Is Postoperative Chronic Pain Syndrome Higher with Mesh Repair of Inguinal Hernia?

2010 ◽  
Vol 76 (10) ◽  
pp. 1115-1118 ◽  
Author(s):  
Kristin Masukawa ◽  
Samuel E. Wilson
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Pain Syndrome ◽  
Chronic Pain Syndrome ◽  
Chronic Postoperative Pain ◽  
Anatomic Repair

Chronic postoperative pain has been associated with mesh repair in meta-analysis of clinical trials. We compared the incidence of early complications, recurrence, and chronic pain syndrome in anatomic and mesh repairs in 200 patients. We defined chronic pain syndrome as pain in the inguinal area more than 3 months after inguinal hernia repair, patient referral to pain management, or necessity of a secondary procedure for pain control. The mean follow-up time was 4 years and 2 months for anatomic repair and 3 years and 7 months for mesh repair. The clinical outcomes did not reveal a significant disparity between the 100 consecutive patients who had mesh repair versus the 100 patients who had anatomic repair with regard to the incidence of superficial wound infection (0 vs 2%, P = 0.497), testicular swelling (12 vs 7%, P = 0.335), hematoma (1 vs 0%, P = 0.99), recurrence (3 vs 2%, P = 0.99), or chronic postoperative pain (4 vs 1%, P = 0.369). The anatomic procedure without mesh should continue to be offered to patients who have an initial inguinal hernia repair.

scholarly journals Nationwide Results on Chronic Pain After Bilateral Transabdominal Preperitoneal Inguinal Hernia Repair

2019 ◽  
Vol 109 (4) ◽  
pp. 289-294
Author(s):  
N. Johansen ◽  
C. D. Vyrdal ◽  
T. Bisgaard
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Performance Status ◽  
Assessment Scale ◽  
Activity Assessment ◽  
Transabdominal Preperitoneal ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain ◽  
Transabdominal Preperitoneal Inguinal Hernia

Background: Majority of studies on chronic postoperative inguinal pain has described the occurrence after unilateral inguinal hernia repair. Endo-laparoscopic repair, for example, laparoscopic transabdominal preperitoneal inguinal hernia repair, has been recommended for primary bilateral symptomatic inguinal hernias, although the literature on chronic postoperative inguinal pain among this type of patients is limited. The present study analyzed chronic postoperative inguinal pain following bilateral transabdominal preperitoneal inguinal hernia repair. Methods: Nationwide consecutive patients who underwent bilateral transabdominal preperitoneal inguinal hernia repair (July 2012–June 2013) were recruited from the Danish Inguinal Hernia Database and cross-checked with hospital files and the National Patient Registry. A prospective follow-up was performed with a standardized postal questionnaire including questions on functional performance status assessed by a modified version of the Activity Assessment Scale. The primary outcome was incidence of chronic postoperative inguinal pain defined as moderate to severe pain-related impairment of everyday activities. Pain was registered according to the two individual groin areas. Furthermore, the overall incidence of chronic postoperative inguinal pain per operated inguinal hernia was calculated. Intensity of experienced pain (Activity Assessment Scale score) was compared between patients reporting pain from one versus both groin areas. Results: In total, 209 patients (418 hernia repairs) were analyzed (questionnaire response rate 83%). The median follow-up time was 27 months (22–34 months). In total, 27 of 209 patients (13%) complained of chronic postoperative inguinal pain from either one ( n = 17) or both ( n = 10) groin areas after bilateral transabdominal preperitoneal inguinal hernia repair. The incidence of chronic inguinal pain per operated hernia was 9%. The intensity of impairment due to pain (Activity Assessment Scale score) did not differ significantly between patients with chronic postoperative inguinal pain in one (19%) versus both sides (30%), p = 0.056. Conclusion: Bilateral transabdominal preperitoneal inguinal hernia repair for symptomatic inguinal hernias was related to a high incidence (13%) of chronic postoperative inguinal pain and decreased functional performance status.

scholarly journals Portuguese Inguinal Hernia Cohort (PINE) study

2020 ◽  
Author(s):  
◽  
J Simões ◽  
AA João ◽  
JM Azevedo ◽  
M Peyroteo ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Collaborative Research ◽  
Research Network ◽  
Hernia Surgery ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain

AbstractPurposeRecent comprehensive guidelines have been published on the management of inguinal hernia. Contrary to other European countries, no Portuguese hernia registry exists. This represents an opportunity to assess outcomes of hernia surgery in the Portuguese population. The primary aim is to define the prevalence of chronic pain after elective inguinal hernia repair. The secondary aims are to identify risk factors for chronic pain after elective inguinal hernia repair, to characterise the management of elective inguinal hernia in public Portuguese hospitals.MethodsProspective national cohort study of patients submitted to elective inguinal hernia repair. The primary outcome is the prevalence of chronic postoperative inguinal pain, according to the EuraHS QoL questionnaire at 3 months postoperatively. The study will be delivered in all Portuguese regions through a collaborative research network. Four 2-week inclusion periods will be open for recruitment. A site-specific questionnaire will capture procedure volume and logistical facilities for hernia surgery.ConclusionThis protocol describes the methodology of a prospective cohort study on the elective management of inguinal hernia. It discusses key challenges and describes how the results will impact future investigation. The study will be conducted across a nationwide collaborative research network, with prospective quality assurance and data validation strategies. It will provide the basis for a more accurate prediction of chronic postoperative inguinal pain and the research on adequate patient selection strategies for surgery and therapeutic strategies for postoperative pain.

Pubic Inguinal Pain Syndrome (PIPS): the Sportsman’s Hernia

2017 ◽  
pp. 169-180
Author(s):  
Aali J. Sheen ◽  
Waqar Bhatti ◽  
Max Fehily ◽  
Saurabh Jamdar ◽  
David Jones ◽  
...  
Keyword(s):  
Pain Syndrome ◽  
Inguinal Pain ◽  
Sportsman’S Hernia

scholarly journals Criteria of efficiency of inguinal herniotomy in children under various techniques

2020 ◽  
Vol 24 (4) ◽  
pp. 239-243
Author(s):  
Alexandr V. Stolyar ◽  
M. A. Aksel'rov ◽  
V. A. Mal'chevskiy
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Pain Syndrome ◽  
Laparoscopic Herniorrhaphy ◽  
Physical Status ◽  
Laparoscopic Intervention ◽  
Inguinal Herniotomy

Purpose. To improve outcomes of congenital inguinal hernia treatment in children by improving a technique of extracorporal herniorrhaphy and by ligature guide modification. Outcomes after surgeries performed with different techniques were assessed by the level of postoperative pain and by the quality of life. Material and methods. Outcomes were analyzed in 60 children operated on for inguinal hernia with 3 different approaches: Duhamel, LASSO, LOD . The intensity of postoperative pain syndrome was assessed 4 hours after surgery and on the next postoperative day. The quality of life was assessed in 24 patients out of 60 on the next postoperative day. Results. The analysis on distribution to normality for postoperative pain did not reveal any statistical differences on sex, age and diagnosis. Boys (average age 69.6 - 84 months) prevailed. In 4 hours after the surgery, patients who had laparoscopic intervention had less number of scores in comparison to those who had open herniorrhaphy. There were no difference in laparoscopic groups. On the next postoperative day, pain syndrome in all groups was about the same. The quality of life in patients differed only by their physical status and by the total number of scores; and these parameters were higher in LOD group (32.8 scores versus 89.4 scores). Conclusion. A modified LOD technique improves the quality of life in operated patients. Four hours after laparoscopic herniorrhaphy, a pain syndrome is less pronounced.

scholarly journals Comparative analysis of transabdominal preperitoneal and total extraperitoneal plastic surgeries in inguinal hernia repair

2017 ◽  
Vol 176 (4) ◽  
pp. 48-50 ◽  
Author(s):  
A. S. Savin ◽  
A. V. Khokhlov ◽  
D. V. Dvoryankin
Keyword(s):  
Inguinal Hernia ◽  
Comparative Analysis ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pain Syndrome ◽  
Clinical Analysis ◽  
Transabdominal Preperitoneal ◽  
Total Extraperitoneal ◽  
Significant Difference ◽  
Made In

OBJECTIVE. Comparative analysis of transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) plastic surgeries was made in case of inguinal hernia repair. MATERIAL AND METHODS. Patients (n =236) underwent surgery at the period from 2012 till 2016. The TAPP was performed in 114 (48,3 %) patients and TEP was carried out in 122 (51,7 %). Clinical analysis of results was made in two groups. RESULTS. The research didn’t show any significant difference in the rate of intra- and postoperative complications and recurrences, but their structure varied. However, length of operation was less in case of one-sided hernia in TAPP group, although it was less in case of two-sided hernia in TEP group. An expression of pain syndrome was reliably lower in TEP group. CONCLUSIONS. Both methods demonstrated similar results and could be applied in treatment of inguinal hernias.

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