Surgical treatment for chronic postoperative inguinal pain-short term outcomes of a specialized center

Chronic postoperative inguinodynia is a challenging long-term complication after inguinal hernia repair. Surgery may be an option for patients who are refractory to non-operative measures. We aim to evaluate the short-term outcomes of surgical treatment for chronic inguinodynia at our institution. C...

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Bibliographic Details
Published in:The American journal of surgery 2020-03, Vol.219 (3), p.425-428
Main Authors: Fafaj, Aldo, Tastaldi, Luciano, Alkhatib, Hemasat, Zolin, Samuel, Alaedeen, Diya, Petro, Clayton, Prabhu, Ajita S., Rosenblatt, Steven, Rosen, Michael J., Krpata, David M.
Format: Article
Language:English
Subjects:
Chronic pain
Chronic Pain - surgery
Complications
Female
Hernia
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy
Humans
Identification methods
Laparoscopy
Male
Middle Aged
Pain
Pain Management
Pain Measurement
Pain, Postoperative - surgery
Patient Satisfaction
Patients
Postoperative period
Prospective Studies
Statistical analysis
Surgery
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Summary:Chronic postoperative inguinodynia is a challenging long-term complication after inguinal hernia repair. Surgery may be an option for patients who are refractory to non-operative measures. We aim to evaluate the short-term outcomes of surgical treatment for chronic inguinodynia at our institution. Consecutive patients undergoing surgical treatment for chronic groin pain were identified in a prospectively maintained database. Outcomes included operative details, intra- and postoperative complications, pain scores, and patient satisfaction. 29 patients were included in the study. All patients were refractory to multimodal pain management. The median pain score on presentation was 8 (IQR 7–10), and after a median follow-up of 6 months (IQR 4–11), there was a statistically significant reduction in pain scores (median 2, IQR 2–6, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2019.10.020