Back to Journals » Journal of Pain Research » Volume 11

Management of chronic pain after hernia repair

Authors Andresen K, Rosenberg J

Received 4 November 2017

Accepted for publication 12 February 2018

Published 5 April 2018 Volume 2018:11 Pages 675—681

DOI https://doi.org/10.2147/JPR.S127820

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Minal Joshi

Peer reviewer comments 5

Editor who approved publication: Dr E Alfonso Romero-Sandoval


Kristoffer Andresen, Jacob Rosenberg

Department of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark

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.

Keywords: inguinal hernia, chronic pain, management, surgery, pharmacology, radio frequency

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