Groin anatomy, preoperative pain, and compression neuropathy in primary inguinal hernia: What really matters.

@article{Wright2019GroinAP,
  title={Groin anatomy, preoperative pain, and compression neuropathy in primary inguinal hernia: What really matters.},
  author={Robert C Wright and T Salisbury and Jordan Landes},
  journal={American journal of surgery},
  year={2019},
  volume={217 5},
  pages={
          873-877
        }
}
Dermatome Mapping Test in the analysis of anatomo-clinical correlations after inguinal hernia repair
TLDR
The most important evidence of the analysis is that the prevalence of chronic pain is higher when the nerves were not identified, and probably the identification of inguinal nerve is more complex in obese patients.
Prophylaxis and treatment of acute and chronic postoperative inguinal pain (CPIP)—association of pain with compression neuropathy†
TLDR
OIHR is effective to avoid CPIP with compression neuropathy and this is the largest series of histological nerve damage in CPIP.
Estudio observacional para evaluar el impacto de la presencia de dolor crónico preoperatorio en los resultados postoperatorios tras la cirugía de hernia abdominal
Instrucciones de citación para el artículo / Citation instructions for the article: Torralba Gambín Guillem, Ribera Leclerc Hermman, Sansaloni Perelló Cristina, Garcías Fullana Jerónima, Gómez

References

SHOWING 1-10 OF 18 REFERENCES
Pain and compression neuropathy in primary inguinal hernia
TLDR
Increased preoperative CCS pain values in primary open inguinal hernia are significantly correlated with gross enlargement of the overall diameter and nerve-specific diameter of the ilioinguinal nerve beyond the external inguINAL ring, consistent with a compression neuropathy.
Nerve Management and Chronic Pain After Open Inguinal Hernia Repair: A Prospective Two Phase Study
TLDR
Mesh contact with a nerve removed from its natural bed may cause chronic long-term pain and the combination of IIN neurolysis and the Lichtenstein repair should be avoided.
Inguinal neuritis is common in primary inguinal hernia
TLDR
The ilioinguinal nerve was most commonly affected in these primary inguinal hernia repairs, and ingUinal neuritis was most likely to occur at the external oblique neuroperforatum.
International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery
TLDR
The consensus reached on some open questions in the field of post-herniorrhaphy chronic pain may help to better analyze and compare studies, avoid sending erroneous messages to the scientific community, and provide some guidelines for the prevention and treatment of post.
Chronic postoperative pain: the case of inguinal herniorrhaphy.
TLDR
Predictive risk factors for chronic postoperative pain are: preoperative pain, repeat surgery, psychological vulnerability, workers compensation, a surgical approach with risk of nerve damage, moderate or severe intensity of acute postoperativePain, radiation therapy, neurotoxic chemotherapy, depression, neuroticism, and anxiety.
Inguinal Neuritis in Open Recurrent Hernia Repair
TLDR
It is hypothesized that neuritis will occur in more nerves with a wider distribution than in primary repair in recurrent inguinal hernia, and this pattern of occurrence in recurrent hernias with nerve damage to the ilioinguinal nerve is investigated.
Groin Hernia Repair: Postherniorrhaphy Pain
TLDR
Preliminary evidence indicating that use of a lightweight mesh may reduce chronic pain requires further research before definitive conclusions can be drawn.
Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial.
TLDR
Watchful waiting is an acceptable option for men with minimally symptomatic inguinal hernias and delaying surgical repair until symptoms increase is safe because acute hernia incarcerations occur rarely.
Carolinas Comfort Scale as a Measure of Hernia Repair Quality of Life: A Reappraisal Utilizing 3788 International Patients
TLDR
The present study confirms that the CCS questionnaire is a validated, sensitive, and robust instrument for assessing QOL after hernia repair, which has become a predominant outcome measure in this discipline of surgery.
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