ArticleHernia : the journal of hernias and abdominal wall surgery2008
Re-operation due to severe late-onset persisting groin pain following anterior inguinal hernia repair with mesh.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Surgical treatment for chronic pain after inguinal hernia repair: a systematic literature review.Langenbeck's archives of surgery · 2022Pooled it
- Periostitis of the Pubic Symphysis in Inguinal and Femoral Hernia: An Uninterpreted Source of Chronic Groin Pain.Medicina (Kaunas, Lithuania) · 2026Review
- Somatosensory Outcomes Following Re-Surgery in Persistent Severe Pain After Groin Hernia Repair: A Prospective Observational Study.Journal of pain research · 2023Article
- Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries.BMC health services research · 2022Article
- Mesh Removal and Selective Neurectomy for Persistent Groin Pain Following Lichtenstein Repair.World journal of surgery · 2017Article
- Patient-reported outcomes (PROs) after total extraperitoneal hernia repair (TEP).Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Long-term outcome of surgical treatment of chronic postoperative groin pain: a word of caution.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Reoperation for persistent pain after groin hernia surgery: a population-based study.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Long-term follow-up after mesh removal and selective neurectomy for persistent inguinal postherniorrhaphy pain.Hernia : the journal of hernias and abdominal wall surgery · 2013Article
- Current trends in the diagnosis and management of post-herniorraphy chronic groin pain.World journal of gastrointestinal surgery · 2011Article
- A comparison of a bovine albumin/glutaraldehyde glue versus fibrin sealant for hernia mesh fixation in experimental onlay and IPOM repair in rats.Surgical endoscopy · 2010Article
- A novel CT-guided transpsoas approach to diagnostic genitofemoral nerve block and ablation.Pain medicine (Malden, Mass.) · 2010Article
- [Pain and dysesthesia following total extraperitoneal hernia repair].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2009Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMild pain lasting for a few days is common following mesh inguinal hernia repair. In some patients however, severe groin pain may appear months or even years postoperatively. The aim of this study was to report our experience of late-onset persisting severe postoperative groin pain occurring years after mesh hernioplasty.
methodsIn a 9-year period, 1,633 patients (1,073 men), median age 63 years (range 19-88), underwent mesh groin hernia repair. Between 1.5 and 4 years postoperatively, six patients (0.35%) presented with severe chronic groin pain unrelieved by conservative measures and surgical exploration was essential. The patients' records were retrospectively reviewed for the purpose of this study.
resultsIlioinguinal nerve entrapment was detected in four patients. The meshes appeared to be indistinguishable from the nerve and were removed along with the stuck nerve. New meshes were properly inserted. Mesh fixation on the periostium of the pubic tubercle by a staple was found in the other two patients. The staples were removed from the periostium in both patients. Neither hernia recurrence nor chronic groin pain was persisting in all six patients during a follow-up of 6-44 months postoperatively.
conclusionFrom the results of this study, it appears that ilioinguinal nerve entrapment and/or mesh fixation on the periostium of the pubic tubercle are the causes of late-onset severe chronic pain after inguinal mesh hernioplasty. Mesh removal, along with the stuck ilioinguinal nerve and staple detachment from the periostium, are the gold-standard techniques if conservative measures fail to reduce pain.
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