Faculty Opinions recommendation of Chronic groin pain, discomfort and physical disability after recurrent groin hernia repair: impact of anterior and posterior mesh repair.

2017 ◽  
Author(s):  
Darin Correll
Keyword(s):  
Hernia Repair ◽  
Physical Disability ◽  
Mesh Repair ◽  
Groin Hernia ◽  
Groin Pain ◽  
Chronic Groin Pain ◽  
Groin Hernia Repair ◽  
Recurrent Groin

scholarly journals Long-term pain relief after groin hernia repair for sports groin: A nationwide cohort study

2021 ◽  
pp. 145749692110440
Author(s):  
Sara Gamborg ◽  
Stina Öberg ◽  
Jacob Rosenberg
Keyword(s):  
Cohort Study ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Groin Pain ◽  
Physical Impairment ◽  
Chronic Groin Pain ◽  
Groin Hernia Repair ◽  
High Satisfaction ◽  
Multiple Structures ◽  
High Satisfaction Rate

Background: The groin is a complex anatomical area with multiple structures that can be injured and cause pain. One condition with groin pain is the so-called “sports groin,” which can be treated with a groin hernia repair even though no hernia is present. The aim of this study was to assess the prevalence of chronic groin pain several years after a groin hernia repair performed in patients with a sports groin. Methods: This nationwide cohort study included adults who had a groin hernia repair for a sports groin through the years 1998–2011. The patients were identified through the Danish Hernia Database and in surgical records. Patients were asked to fill out four questionnaires several years after the repair: a visual analogue scale, the Activity Assessment Scale, the Inguinal Pain Questionnaire, and a questionnaire about treatment satisfaction. Results: Of 118 contacted patients, 71 gave informed consent and were included in the study (60%), and of these the response rate was 100%. The questionnaires were filled out median 14 years after surgery. Most of the patients were pain-free in the operated groin (87%), and only a few had physical impairment caused by groin pain (20%). Prior to surgery, 79% had groin pain that they could not ignore. Overall, 90% of the patients were satisfied with the treatment. Conclusions: Most patients were pain-free and without physical impairment several years after groin hernia repair for a sports groin and with high satisfaction rate.

scholarly journals Prophylactic ilioinguinal neurectomy: Can it prevent chronic groin pain after Lichtenstein inguinal hernia repair?

2016 ◽  
Vol 4 (2) ◽  
pp. 39-44 ◽  
Author(s):  
Arbin Joshi
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Groin Pain ◽  
Chronic Groin Pain ◽  
Ilioinguinal Nerve ◽  
Nerve Preservation ◽  
Medical College ◽  
Open Mesh Repair

Background: Contrary to the previous belief, division of the ilioinguinal nerve prophylactically during mesh repair has been practiced to reduce the incidence and intensity of persistent postoperative pain after hernia repair. Objectives: To evaluate whether prophylactic ilioinguinal neurectomy prevents chronic groin pain after primary Lichtenstein hernia repair.Methods: Patients undergoing elective open mesh repair of inguinal hernia were randomized in two groups; nerve excision and nerve preservation group by opaque envelope method. Fifty cases were included in each group. A telephone interview was conducted after three months of the surgery. Pain scoring was done with Numeric Pain Intensity Scale and its effect in daily activities was measured with Patient Disability Index.Results: Forty-four patients in excision group and 45 in preservation group satisfied the inclusion criteria. Nine (20%) in the previous group and 16 (34.78%) in the latter group had chronic pain (p=0.113). Mean severity score in patients who had pain was significantly high in preservation group (2.22 versus 3.31, p=0.039). The incidence of scrotal numbness was higher in excision group (20% versus 13.3%, p=0.370).Conclusion: Though insignificant reduction in incidence of chronic groin pain was observed after division of ilioinguinal nerve, significant reduction in the intensity of the chronic pain especially during activities related to home and during self care has been shown.Journal of Kathmandu Medical College, Vol. 4, No. 2, Issue 12, Apr.-Jun., 2015, Page: 39-44

scholarly journals Reoperation After Recurrent Groin Hernia Repair

2001 ◽  
Vol 234 (1) ◽  
pp. 122-126 ◽  
Author(s):  
Staffan Haapaniemi ◽  
Ulf Gunnarsson ◽  
Pär Nordin ◽  
Erik Nilsson
Keyword(s):  
Hernia Repair ◽  
Groin Hernia ◽  
Groin Hernia Repair ◽  
Recurrent Groin

scholarly journals TP9.2.13Outcomes of Emergency Groin hernia repair: 30-months experience of a tertiary care hospital

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Dileep Kumar ◽  
Brandon Tan ◽  
Michael Guilbert ◽  
Mohamed Elsllabi ◽  
Girivasan Muthukumarasamy
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Femoral Hernia ◽  
Mesh Repair ◽  
Groin Hernia ◽  
Bowel Resection ◽  
Wound Complications ◽  
Suture Repair ◽  
Mesh Infection ◽  
Groin Hernia Repair

Abstract Aims Repair of Emergency groin hernia is variable across different regions and even within same units. Mesh is increasingly used these days. We aim to evaluate peri-operative and long-term outcomes over last 30-months. Methods Retrospective analysis of all emergency groin hernia repairs from January 2018- July 2020 in a tertiary Centre. Case notes and electronic patient records (clinical portal, PACS system etc.) used for data collection. Results Of 89 emergency groin hernia repairs 62(69.7%) males, 32/89 (35.9%) indirect inguinal hernia and 29 (32.5%) femoral hernia. Median age 72 years (range 20-95), 74(83.1%) primary hernia and 15(16.9%) recurrent hernias. Femoral hernia was most common in females 25/27 (92.5%) in contrast 58/62 males (93.5%) had inguinal hernia. All patients, except 1(1.1%) laparoscopic, had open repair, 11/89 cases (12.3%) required bowel resection, of those 10 (90.9%) had suture repair. Additionally, 6/89 cases (6.7%) needed laparotomy. Of 68/89 (76.4%) cases who had mesh repair, 52(76.4%) were inguinal and 23.5% (16/68) femoral hernia. Only 55% femoral hernias repaired with mesh. Median LOS was 3 days (range 0-54), 6/89 cases (6.74%) had wound complications (3 wound infections, 2 haematoma and 1 fluid collection). With median 19 months (range 6-36 months) follow-up, 1(1.1%) recurrence each in both mesh and suture repair groups, no mesh infection and 2/89 (2.2%) 30-day mortality recorded. Conclusion Mesh repair is increasingly used in emergency groin hernia repair without increased risk of mesh infection, although suture repair is still preferred in groin hernias requiring bowel resection.

scholarly journals Audit of Patient Outcomes after Lichtenstein Hernioplasty for the Repair of Adult Inguinal Hernia

2019 ◽  
Vol 16 (2) ◽  
pp. 54-58
Author(s):  
Md Ibrahim Siddique ◽  
Samia Mubin ◽  
Krisna Rani Majumder ◽  
Muhammad Ali Siddiquee
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Groin Pain ◽  
General Surgeon ◽  
Chronic Groin Pain ◽  
Tension Free ◽  
Lichtenstein Hernioplasty

Background: Inguinal hernia repair is one of the most commonly performed surgeries worldwide. While numerous surgical approaches exist to treat inguinal hernias, the Lichtenstein tension-free mesh repair remains the gold standard. This retrospective study is carried out to evaluate the short and long term outcomes of Lichtenstein hernioplasty in the hand of a general surgeon. Patients and Methods: A retrospective analysis of all adult inguinal hernia repair by Lichtenstein method between January .2003 and December 2009 was carried out. The outcome measures were early post-operative complications, incidence of chronic groin pain and recurrence rate. Results: A total of 526 procedures were carried out in 445 adult male patients during the study period. The median age of the patients was 49 years (range, 21-73 years). All patients underwent Lichtenstein hernioplasty under spinal anesthesia. Length of hospital stay was median 2.4 days (range, 1-4 days). Median time to the resumption of normal activities was 8 days (range, 5-1 0 days). Urinary retention was the most frequent early post-operative complication (5.1 6%). Rate of wound infection was acceptable (0.44%). Chronic groin pain was experienced by three patients (0.67%). There was no recurrence observed among the 291 (65.4% of the total) patients who were available after two years of the procedure. Conclusion: The Lichtenstein open tension-free mesh repair of adult inguinal hernia is a safe procedure with least post-operative morbidity and least chance for recurrence. It is a simple technique, quick and. easy to perform without compromising the patient's care and long-term outcome in the hand of an experienced general surgeon. Journal of Surgical Sciences (2012) Vol. 16 (2) : 54-58

Sign in / Sign up

Export Citation Format

Share Document