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Post-herniorrhaphy inguinodynia is a condition where 10-12% of patients experience severe pain after inguinal hernia repair, due to a complex combination of different forms of pain signals. [ 87 ] [ 88 ] [ 12 ] It can occur with any inguinal hernia repair technique, and if unresponsive to pain medications, further surgical intervention is often ...
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements , are absent in about a third of patients.
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.
Inguinal hernia repair with mesh diagram Laparoscopic hernia repair with mesh. Surgery is recommended for some types of hernias to prevent complications such as obstruction of the bowel or strangulation of the tissue, although umbilical hernias and hiatus hernias may be watched, or are treated with medication. [34]
Wound care is another topic that varies based on the situation. Specific instructions on how to care for a person's wound should be discussed during their post operation visit with their medical doctor. Because of its rarity, there is no universal protocol on the timeline for follow-up visits for repair of an obturator hernia.
An operation in which the hernia sac is removed without any repair of the inguinal canal is described as a herniotomy. When herniotomy is combined with a reinforced repair of the posterior inguinal canal wall with autogenous (patient's own tissue) or heterogeneous material such as prolene mesh, it is termed hernioplasty as opposed to ...
The superficial inguinal ring (subcutaneous inguinal ring or external inguinal ring) is an anatomical structure in the anterior wall of the mammalian abdomen. It is a triangular opening that forms the exit of the inguinal canal, which houses the ilioinguinal nerve , the genital branch of the genitofemoral nerve , and the spermatic cord (in men ...
This is different from a traditional hemorrhoidectomy, which focused on excising the hemorrhoidal bundle. In this procedure, there is no tissue excision. Because the suture line is above the pectinate line, post-operative pain is minimized for patients. THD can be performed with conscious sedation, local [5] or general anesthesia.
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