Open mesh removal combined with laparoscopic totally extraperitoneal inguinal hernia repair: A case report of a novel surgical technique for chronic postoperative inguinal pain

2020 ◽  
Author(s):  
Shigehiro Kojima ◽  
Tsuguo Sakamoto ◽  
Kazuhito Yajima ◽  
Fumihiro Ogawa
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Surgical Technique ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Removal ◽  
Totally Extraperitoneal ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain ◽  
Open Mesh

scholarly journals Nationwide Results on Chronic Pain After Bilateral Transabdominal Preperitoneal Inguinal Hernia Repair

2019 ◽  
Vol 109 (4) ◽  
pp. 289-294
Author(s):  
N. Johansen ◽  
C. D. Vyrdal ◽  
T. Bisgaard
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Performance Status ◽  
Assessment Scale ◽  
Activity Assessment ◽  
Transabdominal Preperitoneal ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain ◽  
Transabdominal Preperitoneal Inguinal Hernia

Background: Majority of studies on chronic postoperative inguinal pain has described the occurrence after unilateral inguinal hernia repair. Endo-laparoscopic repair, for example, laparoscopic transabdominal preperitoneal inguinal hernia repair, has been recommended for primary bilateral symptomatic inguinal hernias, although the literature on chronic postoperative inguinal pain among this type of patients is limited. The present study analyzed chronic postoperative inguinal pain following bilateral transabdominal preperitoneal inguinal hernia repair. Methods: Nationwide consecutive patients who underwent bilateral transabdominal preperitoneal inguinal hernia repair (July 2012–June 2013) were recruited from the Danish Inguinal Hernia Database and cross-checked with hospital files and the National Patient Registry. A prospective follow-up was performed with a standardized postal questionnaire including questions on functional performance status assessed by a modified version of the Activity Assessment Scale. The primary outcome was incidence of chronic postoperative inguinal pain defined as moderate to severe pain-related impairment of everyday activities. Pain was registered according to the two individual groin areas. Furthermore, the overall incidence of chronic postoperative inguinal pain per operated inguinal hernia was calculated. Intensity of experienced pain (Activity Assessment Scale score) was compared between patients reporting pain from one versus both groin areas. Results: In total, 209 patients (418 hernia repairs) were analyzed (questionnaire response rate 83%). The median follow-up time was 27 months (22–34 months). In total, 27 of 209 patients (13%) complained of chronic postoperative inguinal pain from either one ( n = 17) or both ( n = 10) groin areas after bilateral transabdominal preperitoneal inguinal hernia repair. The incidence of chronic inguinal pain per operated hernia was 9%. The intensity of impairment due to pain (Activity Assessment Scale score) did not differ significantly between patients with chronic postoperative inguinal pain in one (19%) versus both sides (30%), p = 0.056. Conclusion: Bilateral transabdominal preperitoneal inguinal hernia repair for symptomatic inguinal hernias was related to a high incidence (13%) of chronic postoperative inguinal pain and decreased functional performance status.

scholarly journals Portuguese Inguinal Hernia Cohort (PINE) study

2020 ◽  
Author(s):  
◽  
J Simões ◽  
AA João ◽  
JM Azevedo ◽  
M Peyroteo ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Collaborative Research ◽  
Research Network ◽  
Hernia Surgery ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain

AbstractPurposeRecent comprehensive guidelines have been published on the management of inguinal hernia. Contrary to other European countries, no Portuguese hernia registry exists. This represents an opportunity to assess outcomes of hernia surgery in the Portuguese population. The primary aim is to define the prevalence of chronic pain after elective inguinal hernia repair. The secondary aims are to identify risk factors for chronic pain after elective inguinal hernia repair, to characterise the management of elective inguinal hernia in public Portuguese hospitals.MethodsProspective national cohort study of patients submitted to elective inguinal hernia repair. The primary outcome is the prevalence of chronic postoperative inguinal pain, according to the EuraHS QoL questionnaire at 3 months postoperatively. The study will be delivered in all Portuguese regions through a collaborative research network. Four 2-week inclusion periods will be open for recruitment. A site-specific questionnaire will capture procedure volume and logistical facilities for hernia surgery.ConclusionThis protocol describes the methodology of a prospective cohort study on the elective management of inguinal hernia. It discusses key challenges and describes how the results will impact future investigation. The study will be conducted across a nationwide collaborative research network, with prospective quality assurance and data validation strategies. It will provide the basis for a more accurate prediction of chronic postoperative inguinal pain and the research on adequate patient selection strategies for surgery and therapeutic strategies for postoperative pain.

scholarly journals Dermatome Mapping Test in the analysis of anatomo-clinical correlations after inguinal hernia repair

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Roberto Cirocchi ◽  
Isabella Mercurio ◽  
Claudio Nazzaro ◽  
Angelo De Sol ◽  
Carlo Boselli ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Observational Study ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Prospective Observational Study ◽  
Hernia Mesh ◽  
Inguinal Pain ◽  
Chronic Postoperative Inguinal Pain ◽  
Hernia Mesh Repair

Abstract Background Nerve identification is recommended in inguinal hernia repair to reduce or avoid postoperative pain. The aim of this prospective observational study was to identify nerve prevalence and find a correlation between neuroanatomy and chronic neuropathic postoperative inguinal pain (CPIP) after 6 months. Material A total of 115 patients, who underwent inguinal hernia mesh repair (Lichtenstein tension-free mesh repair) between July 2018 and January 2019, were included in this prospective observational study. The mean age and BMI respectively resulted 64 years and 25.8 with minimal inverse distribution of BMI with respect to age. Most of the hernias were direct (59.1%) and of medium dimension (47.8%). Furthermore, these patients were undergoing Dermatome Mapping Test in preoperatively and postoperatively 6 months evaluation. Results Identification rates of the iliohypogastric (IH), ilioinguinal (II) and genitofemoral (GF) nerves were 72.2%, 82.6% and 48.7% respectively. In the analysis of nerve prevalence according to BMI, the IH was statistically significant higher in patients with BMI < 25 than BMI ≥ 25 P (< 0.05). After inguinal hernia mesh repair, 8 patients (6.9%) had chronic postoperative neuropathic inguinal pain after 6 months. The CPIP prevailed at II/GF dermatome. The relation between the identification/neurectomy of the II nerve and chronic postoperative inguinal pain after 6 months was not significant (P = 0.542). Conclusion The anatomy of inguinal nerve is very heterogeneous and for this reason an accurate knowledge of these variations is needed during the open mesh repair of inguinal hernias. The new results of our analysis is the statistically significant higher IH nerve prevalence in patients with BMI < 25; probably the identification of inguinal nerve is more complex in obese patients. In the chronic postoperative inguinal pain, the II nerve may have a predominant role in determining postoperative long-term symptoms. Dermatome Mapping Test in an easy and safe method for preoperative and postoperative 6 months evaluation of groin pain. The most important evidence of our analysis is that the prevalence of chronic pain is higher when the nerves were not identified.

scholarly journals Congenital Unilateral Absence of the Vas Deferens with Ipsilateral Renal Agenesis encountered during Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair in an Adult Patient: A Case Report

2021 ◽  
Author(s):  
Karel Smeyers ◽  
Kor Hutting ◽  
Ilse Hofmeester ◽  
Robert Prudhomme van Reine
Keyword(s):  
Cystic Fibrosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Vas Deferens ◽  
Renal Agenesis ◽  
Incidental Finding ◽  
Renal Anomalies ◽  
Totally Extraperitoneal

We report the first incidental finding of congenital unilateral absence of the vas deferens and ipsilateral renal agenesis during endoscopic totally extraperitoneal inguinal hernia repair. The absence of the vasa deferentia occurs unilateral, associated with renal anomalies, or bilateral which has a genetic link to cystic fibrosis.

scholarly journals Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair -A case report-

2010 ◽  
Vol 58 (5) ◽  
pp. 490 ◽  
Author(s):  
Hye Young Kim ◽  
Tae-Yop Kim ◽  
Kyu Chang Lee ◽  
Myeong Jong Lee ◽  
Seong-Hyop Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Totally Extraperitoneal

The preperitoneal loop in inguinal hernia repair following the totally extraperitoneal technique

Hernia ◽  
2010 ◽  
Vol 14 (4) ◽  
pp. 361-367 ◽  
Author(s):  
F. Mainik ◽  
G. Quast ◽  
R. Flade-Kuthe ◽  
A. Kuthe ◽  
F. Schroedl
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Totally Extraperitoneal
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