Reoperation for groin pain after inguinal herniorrhaphy: does it really work?

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• 作者：Philip Sun ; M.Sc. ; T. Kumar Pandian ; M.D. ; M.P.H. ; Jad M. Abdelsattar ; M.B.B.S. ; David R. Farley ; M.D. ; ^{farley.david@mayo.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Chronic groin pain ; Inguinal hernia ; Inguinal neuralgia ; Neurectomy
• 刊名：The American Journal of Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：211
• 期：3
• 页码：637-643
• 全文大小：163 K

文摘

Chronic groin pain after inguinal hernia repair (IHR) is a vexing problem. Reoperation for groin pain (R4GP) has varied outcomes.

Methods

A retrospective review and telephone survey of adults who presented with groin pain after IHR from 1995 to 2014.

Results

Forty-four patients underwent R4GP; 23% had greater than 1 R4GP. Twenty-three (52%) had hernia recurrence at the time of R4GP. Twenty (45%) underwent nerve resection, and 13 (30%) had mesh removed. Twenty-eight patients completed a telephone survey. Of these, 26 (93%) respondents indicated they experienced pain after their last R4GP for a median duration of 12.5 months. At study completion, 5 patients continued to have debilitating chronic groin pain, 5 had moderate pain, 6 had minimal discomfort, and 12 were pain-free. Twenty-four respondents (86%) would proceed with reoperation(s) again if they could go back in time.

Conclusions

Although most patients do not experience immediate relief with R4GP, the majority receive some benefit in long-term follow-up.