Management of Chronic Pain After Hernia Repair

Overview

Journal J Pain Res

Publisher Dove Medical Press

Date 2018 Apr 20

PMID 29670394

Citations 29

Authors

Kristoffer Andresen

Jacob Rosenberg

Affiliations

Soon will be listed here.

Abstract

Chronic pain following inguinal hernia repair is a common problem and feared complication. Up to 16% of people experience chronic pain following the repair of a groin hernia. The aim of this review was to provide an overview of treatment strategies for patients with chronic pain following inguinal hernia repair based on best practice guidelines and current clinical routines. The optimal management of chronic pain following inguinal hernia surgery should begin with a thorough clinical examination to rule out other causes of chronic pain and to rule out a recurrence. A scaled approach to treatment is recommended. Initially, watchful waiting can be tried if it can be tolerated by the patient and then systemic painkillers, escalating to blocks, and surgery as the final option. Surgery should include mesh removal and triple neurectomy following anterior approaches or mesh and tack removal following a posterior approach. The diagnosis and treatment strategies should be performed by or discussed with experts in the field.

Citing Articles

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Should Mesh Plug Use Be Discontinued in Hernia Repair Practices?.

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