A Case of Chronic Pain after Inguinal Herniorrhaphy Treated Successfully with Mesh Resection and Triple Neurectomy

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  • メッシュ除去と神経切離術で除痛が得られた鼠径ヘルニア術後慢性疼痛の1例
  • 症例 メッシュ除去と神経切離術で除痛が得られた鼠径ヘルニア術後慢性疼痛の1例
  • ショウレイ メッシュ ジョキョ ト シンケイ セツリジュツ デ ジョツウ ガ エラレタ ソケイ ヘルニア ジュツゴ マンセイ トウツウ ノ 1レイ

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Abstract

Post-herniorrhaphy chronic pain can lead to a marked decrease in quality of life. We report a case of neuropathic post-herniorrhaphy pain in which mesh resection and triple neurectomy successfully relieved inguinal pain.<BR>A 77-year-old male on dialysis for chronic renal failure underwent open left inguinal herniorrhaphy with the mesh plug method. Three months postoperatively, he complained of left inguinal paresthesia and radiating pain from the left inguinal area to the left thigh. We suspected neuropathic chronic pain associated with herniorrhaphy. Various analgesic therapies failed to relieve the pain, and we performed mesh resection and triple neurectomy at 5 months postoperatively.<BR>The chronic pain was dramatically relieved after surgery. Histopathological findings showed fat necrosis and scarring around the inguinal branch of the inguinal femoral nerve and nerve retraction in the same region. We believe that nerve retraction was one of the reasons for chronic pain.

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