Outcomes Follow Surgical Treatment for Chronic Groin Pain: A Single Center 7-Year Retrospective Analysis

Chronic groin pain (CGP), defined as pain beyond two months, is a rare but potentially debilitating complication of inguinal hernia repair. CGP etiologies include neuropathic, mesh-related, hernia-related, musculoskeletal, and urologic. Treatment options depend on the nature of the pain. Preoperative history, physical exam and imaging studies can help elucidate the cause, while surgical exploration and interventions are sometimes required. The purpose of this study was to evaluate the outcomes following CGP surgical treatment.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research

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ConclusionThe VTEP procedure provides a low level of chronic pain but can entail some drawbacks, such as the swollen abdomen, which can be attributed to the absence of repair of the posterior sheath. It may be that restoring or preserving structural integrity of the abdominal belt formed by the posterior sheath constitutes a key point in retromuscular techniques.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Surg Clin North Am. 2021 Dec;101(6):1067-1079. doi: 10.1016/j.suc.2021.06.005.ABSTRACTInguinal hernias represent one of the most common pathologic conditions presenting to the general surgeon. In surgical practice, several controversies persist: when to operate, the utility of a laparoscopic versus open approach, the applicability of robotic surgery, the approach to bilateral hernias, management of athletic-related groin pain ("sports hernia"), and the role of tissue-based repairs in modern hernia surgery. Ideally, surgeons should approach each patient individually and tailor their approach based on patient facto...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
A 70-year-old man with a medical history notable for gastroesophageal reflux disease, achalasia (status post Nissen fundoplication take down and hiatal hernia repair with later takedown and Heller myotomy with Dor fundoplication), chronic obstructive pulmonary disease, heart failure with preserved ejection fraction, chronic back pain, osteoarthritis, opioid use, insulin-dependent diabetes, diabetic neuropathy, and a diagnosis of gastroparesis presented with symptoms of altered mental status in the setting of intractable nausea and vomiting.
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Residents ’ clinic Source Type: research
ConclusionThese results indicate that after TIPP it is feasible and safe to perform re-surgery for recurrent inguinal hernia with an anterior approach again. For these recurrences, a Lichtenstein repair can be performed, or a"re-TIPP if possible"  strategy can be applied by experienced TIPP surgeons, tailored to the intraoperative findings. Whether a re-TIPP has advantages over Lichtenstein should be evaluated in a prospective manner.
Source: Hernia - Category: Sports Medicine Source Type: research
CONCLUSION: Abdominal hernia is a common problem in Saudi Arabia. Abdominal hernias are more common in men than women, there is an obvious relationship between obesity, history of abdominal surgery, history of abdominal trauma, family history and hernias. Early diagnosis, easily accessible health facilities and health education are important to prevent complications and improve quality of life.PMID:34660458 | PMC:PMC8483121 | DOI:10.4103/jfmpc.jfmpc_622_21
Source: Primary Care - Category: Primary Care Authors: Source Type: research
AbstractPurposeAim of this study was to analyse feasibility, safety and effectiveness of laparoscopic transperitoneal hernia repair (TAPP) approach to inguinal hernias in the emergency setting, with a longer follow-up than the studies present in literature.MethodsWe retrospectively analysed all patients who underwent emergency TAPP hernia repair in San Marco Hospital (Zingonia, Italy), from September 2010 to June 2020. A prospectively collected database of 685 consecutive TAPP hernia repair was reviewed. Feasibility and safety were evaluated through operative time, conversion rate, perioperative mortality, morbidity and pr...
Source: Hernia - Category: Sports Medicine Source Type: research
Conclusion: Both the TREPP and TIPP technique resulted in a low incidence of CPIP after 1-year follow-up. The TREPP method can be considered a solid method for inguinal hernia repair if expertise is present. The learning curve of the TREPP techniques needs further evaluation. Trial Registration: ISRCTN18591339
Source: Annals of Surgery - Category: Surgery Tags: ESA-RANDOMIZED CONTROLLED TRIALS Source Type: research
AbstractThe aim of this study was to review the latest evidence on the robotic approach (RHR) for inguinal hernia repair comparing the pooled outcome of this technique with those of the standard laparoscopic procedure (LHR). A systematic literature search was performed in PubMed, Web of Science and Scopus for studies published between 2010 and 2021 concerning the comparison between RHR versus LHR. After screening 582 articles, 9 articles with a total of 64,426 patients (7589 RHRs) were eligible for inclusion. Among preoperative variables, a pooled higher ratio of ASA  >  2 patients was found in the robotic...
Source: Journal of Robotic Surgery - Category: Surgery Source Type: research
ConclusionPre-skin incision wound infiltration with dexmedetomidine –bupivacaine mixture provides prolonged local anesthetic effect, decreases the need for rescue analgesics, and provides better sedation than bupivacaine–magnesium sulfate mixture or bupivacaine alone in patients undergoing surgeries for hernia repair.
Source: QJM - Category: Internal Medicine Source Type: research
ConclusionThe results indicated that routine nerve identification and preservation was associated with a significantly lower incidence of postoperative neuralgia compared with no nerve identification.
Source: QJM - Category: Internal Medicine Source Type: research
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