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Surgical incision in groin after inguinal hernia operation. Surgical correction of inguinal hernias is called a hernia repair. It is not recommended in minimally symptomatic hernias, for which watchful waiting is advised, due to the risk of post herniorraphy pain syndrome. Surgery is commonly performed as outpatient surgery. There are various ...
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. There are two different clusters of hernia: groin and ventral (abdominal) wall.
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
A 2022 article in the Journal of Gastrointestinal Surgery describes a mesh infection as “a highly morbid complication after hernia surgery, and is associated with hospital re-admission ...
After elective surgery, the 30-day mortality rate for inguinal or femoral hernia repair stands at 0.1 percent, but it increases to 2.8 to 3.1 percent after urgent surgery. [42] When a bowel resection is part of the hernia repair, the mortality rate is even higher. [43]
[61] [non-primary source needed] This caused autonomic nerve damage resulting in constipation and obstructed defecation after the surgery. [61] [non-primary source needed] Ventral rectopexy was developed in 2004 as a modification which would not destroy these nerves, since only the ventral/anterior surface (the front surface) is mobilized.
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A hysterectomy or other pelvic surgery can be a cause, [4] as can chronic constipation and straining to pass bowel movements. It is more common in older women than in younger ones because estrogen which helps to keep the pelvic tissues elastic decreases after menopause. [medical citation needed]