Nerve Anatomy Awareness and Recognition during Surgery for Anterior Inguinal Hernia Repair as a Preventive Measure for Chronic Postoperative Inguinal Pain

DOI Web Site 17 References

Bibliographic Information

Other Title
  • 鼠径部切開法における鼠径ヘルニア術後慢性疼痛予防としての術中神経確認励行の検討

Abstract

<p>Purpose: Chronic postoperative inguinal pain (CPIP) is a serious complication that impairs the quality of life of patients. In a survey conducted at our hospital, CPIP occurred in 7.6% of patients, and 2.2% of refractory cases required invasive treatment. The purpose of this study was to verify whether the recommendation in international guidelines of nerve anatomy awareness and recognition during surgery contributes to a reduction in the incidence of CPIP. Materials and Methods: Pain was assessed on a 6-point Numerical Rating Scale (NRS) (0–5) and CPIP was defined as NRS of 3 or higher at 3 months after surgery. Interventions were performed in 198 patients (207 lesions) who underwent elective inguinal hernia repair between 2016 and 2018 in our department. The intervention included 1) intraoperative nerve confirmation with a surgical record template, and 2) an outpatient visit 3 months after surgery, during which a questionnaire was used to investigate the intensity of pain in daily life. Result: Of 105 patients (108 lesions) who underwent anterior inguinal hernia repair and visited the outpatient clinic 3 months after surgery, 66% had all 3 nerves identified. CPIP occurred in 2 patients (1.9%), but both obtained relief from pain over time. Conclusion: These results suggest that nerve anatomy awareness and recognition during surgery may reduce the incidence of CPIP in patients undergoing anterior inguinal hernia repair.</p>

Journal

References(17)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top