Incidence and management of inguinodynia after inguinal plasty
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Date
2020-10
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Hernia is defined as a defect of fascial and muscle-aponeurotic structures, allowing the protrusion of elements. The most frequent is inguinal region, prevailing in men 3:1 vs female. The most frequent complications are persistent chronic pain.Methods: A descriptive, prospective and cross-sectional study was performed in postoperative inguinal plasty patients, using a laparoscopic approach and open approach, the presence or absence of inguinodynia was studied using the visual analogue pain scale (VAS) and the Semmes-Weinstein monofilament, in addition to a systematic investigation in the following PubMed, Medline, Clinical Key and Index Medicus databases, with articles from July 2019 to April 2020.Results: Inguinodynia was present in laparoscopic surgery and open approach, 58 patients had inguinodynia at two weeks associated with the inflammatory response of the tissues and the presence of a foreign body (mesh), 77% of the patients with persistence of pain at 3 months reported mild pain (VAS 1-4), 21% moderate pain that did not limit their daily activities (VAS 5-8) and 2% of the patients reported severe pain which limited physical activity and effort (VAS 9-10).Conclusions: Inguinodynia has an impact on hospital costs and quality life, we consider it is essential to domain the anatomical variants of the region. We propose an extensive follow-up of this group of patients, to make a comparison of diagnostic methods, as well as conservative management vs. modern techniques for pain control.
Description
Keywords
Hernia, Inguinal, Inguinodynia, Lichtenstein, Mesh, Neurectomy
Citation
Granados-Romero Juan J., Ceballos-Villalva Jesus C., García-Olivo Israel, E. Cruz Escobar Jonathan, Corona-Torres María J., Mondragón-Cordero Alba M., A. Quintero Arías Lourdes, Henry Ayala García, C. Vázquez González Juan, Contreras-Flores Ericka H.. Incidence and management of inguinodynia after inguinal plasty. International Journal of Research in Medical Sciences. 2020 Oct; 8(10): 3432-3438