ArticleWorld journal of surgery2017
Mesh Removal and Selective Neurectomy for Persistent Groin Pain Following Lichtenstein Repair.
Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06363903 (Autoimmume/Inflammatory Syndrome Induced by Adjuvants), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Autoimmume/Inflammatory Syndrome Induced by Adjuvants (ASIA Syndrome) Caused by Polypropylene Mesh Implantation - a Pilot Study for Diagnostics and Treatment
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Pooled it
- Are polypropylene mesh implants associated with systemic autoimmune inflammatory syndromes? A systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Surgical treatment for chronic pain after inguinal hernia repair: a systematic literature review.Langenbeck's archives of surgery · 2022Pooled it
- Trial
- Adductor tendinopathy as a source of ongoing chronic postoperative inguinal pain-evaluating outcomes of adductor tenotomy.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Magnetic resonance imaging for visualization, segmentation and 3D reconstruction of surgical meshes in the lower abdomen: a systematic review.Abdominal radiology (New York) · 2026Review
- Preliminary results of surgical intervention for patients with chronic postoperative inguinal pain.Surgery today · 2026Article
- Prophylactic triple neurectomy during open tension-free inguinal hernia repair: a clinical trial for the prevention of chronic postoperative pain.Updates in surgery · 2026Article
- Laparoscopic mesh removal in inguinal hernia surgery: evaluating patient satisfaction and surgical outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Inguinal hernia recurrence after laparoscopic mesh removal for chronic pain: a single-center experience with 11 years of practice.Surgical endoscopy · 2025Observational
- Prediction of successful revision surgery for mesh-related complaints after inguinal hernia and pelvic organ prolapse repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Laparoscopic mesh removal for chronic postoperative inguinal pain following endoscopic hernia repair: a cohort study on the effect on pain.Hernia : the journal of hernias and abdominal wall surgery · 2023Observational
- Pain following hernia repair: awareness is crucial.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Somatosensory Outcomes Following Re-Surgery in Persistent Severe Pain After Groin Hernia Repair: A Prospective Observational Study.Journal of pain research · 2023Article
- Robotic mesh explantation (RoME): a novel approach for patients with chronic pain following hernia repair.Surgical endoscopy · 2022Article
- Longitudinal cohort study on preoperative pain as a risk factor for chronic postoperative inguinal pain after groin hernia repair at 2-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Prophylaxis and treatment of acute and chronic postoperative inguinal pain (CPIP)-association of pain with compression neuropathy.Journal of surgical case reports · 2020Article
- Symptomatic attachment of appendix vermiformis following a plug inguinal hernia repair.BMJ case reports · 2019Article
- A national center for persistent severe pain after groin hernia repair: Five-year prospective data.Medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSome patients with persistent inguinodynia following a Lichtenstein hernia repair fail all non-surgical treatments. Characteristics of mesh-related pain are not well described whereas a meshectomy is controversial. Aims were to define mesh-related pain symptoms, to investigate long-term effects of a meshectomy and to provide recommendations on meshectomy.
methodsConsecutive patients undergoing open meshectomy with/without selective neurectomy for chronic inguinodynia following Lichtenstein repair were analysed including a follow-up questionnaire. Outcome measures were complications, satisfaction (excellent, good, moderate, poor) and hernia recurrence rate. Recommendations for meshectomy are proposed based on a literature review.
resultsSeventy-four patients (67 males, median age 56 years) underwent mesh removal (exclusively mesh, 26%; combined with tailored neurectomy, 74%) between June 2006 and March 2015 in a single centre. Complications were intraoperatively recognized small bowel injury (n = 1) and testicular atrophy (n = 2). A 64% excellent/good long-term result was attained (median 18 months). Success rates of a meshectomy (63%) or combined with a neurectomy (64%) were similar. Five hernia recurrences occurred during follow-up (7%). A patient with a pure mesh-related groin pain characteristically reports a 'foreign body feeling'. Pain intensifies during hip flexion (car driving) and is attenuated following hip extension or supine position. Palpation is painful along the inguinal ligament whereas neuropathic characteristics (hyperpathic skin, trigger points) are lacking.
conclusionsMesh removal either or not combined with tailored neurectomy is beneficial in two of three patients with characteristics of mesh-related inguinodynia following Lichtenstein hernia repair who are refractory to alternative pain treatments.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.