Chronic pain after surgical repair of inguinal hernia

被引:1
|
作者
Mick, G. [1 ,2 ]
Mergui, C. [3 ]
机构
[1] CHU Lyon, Hop Neurol, Ctr Evaluat & Traitement Douleur, F-69394 Lyon 03, France
[2] Ctr Hosp Voiron, Unite Interhosp Evaluat & Traitement Douleur Voir, F-38500 Voiron, France
[3] Clin Chartreuse, F-38500 Voiron, France
来源
DOULEUR ET ANALGESIE | 2009年 / 22卷 / 01期
关键词
Herniotomy; Herniorrapy; Inguinal hernia; Chronic postoperative pain; RANDOMIZED CLINICAL-TRIAL; 5-YEAR FOLLOW-UP; GROIN HERNIA; POSTHERNIOTOMY PAIN; UNITED-STATES; RISK-FACTORS; DOUBLE-BLIND; LICHTENSTEIN; ANESTHESIA; MESH;
D O I
10.1007/s11724-009-0123-x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Herniotomy is one of the most frequent surgical procedures. From the literature, it can be established that chronic postoperative pain affects from 3 to 45% of patients after 3 months, mainly lightly. However, most studies are retrospective, only a few are prospective or controlled, and almost none of them provides a clear description of pain characteristics. It seems that use of local-regional anaesthesia reduces the risk of chronic postoperative pain, and that laparoscopy or herniorraphy leads to less frequent postoperative pain in the long-term. Risk factors for chronic postoperative pain comprise inguinal pain before surgery, the type of surgical procedure and intraoperative nerve damage. Quantitative and electrophysiologic studies recently showed that almost all patients exhibit impairment of genitofemoral nerve function after surgery, irrespective of the actual procedure. However, patients experiencing chronic pain exhibited a more pronounced reduction of mechanical and thermal thresholds on the operated side than pain free patients, suggesting the neuropathic nature of chronic postoperative pain. Further studies are needed to establish clearly a classification of the characteristics and causes of pain after surgical repair of inguinal hernia.
引用
收藏
页码:44 / 49
页数:6
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