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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.
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. Symptoms often get worse throughout the day and improve when lying down.
Too many patients come in complaining about lethargy, headache, abdominal pain, diarrhea, or some other fairly common minor symptom and expect medication or some sort of intervention to cure them.
Post-Operative Complications. Some complications from surgery in order of prevalence include a seroma/hematoma formation, urinary retention, neuralgias, testicular pain/swelling, mesh infection/wound infection, and recurrence. [45] A seroma is often seen after an indirect hernia repair and resolves spontaneously over 4–6 weeks.
A seroma is usually caused by surgery. Seromas are particularly common after breast surgery [3] (e.g., mastectomy), [4] abdominal surgery, and reconstructive surgery. It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form.
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, and constipation.Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischemia or perforation from prolonged distension or ...
Clinically, incisional hernias present as a bulge or protrusion at or near the area of a surgical incision. Virtually any prior abdominal operation can develop an incisional hernia at the scar area (provided adequate healing does not occur due to infection), including large abdominal procedures such as intestinal or vascular surgery, and small incisions, such as appendix removal or abdominal ...
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