Treatment of chronic inguinal pain after repair of inguinal hernia

Abstract

Inguinal hernia presents a high prevalence in society. More than 20 million patients are intervened annually worldwide. In industrialized countries, the probability of being operated on inguinal hernia is 27 % for men and 3 % for women3. Inguinal hernia repair techniques with mesh and without tension, have significantly decreased the risk of recurrence. Currently, the recurrence has been relieved by chronic post-surgical inguinodynia as the main complication. It is estimated that the risk of moderate or severe PCI ranges between 10 % -12 %. They negatively affect the quality of life between 0.5 % and 6 % of them. There are multiple risk factors in the perioperative that influence the development of groin pain. The diagnosis and treatment are quite complex given the different etiologies of the pain. The clinical history and physical examination play a very important role in the diagnosis. The complementary tests contribute in the confirmation or exclusion of the origin. The treatment is multidisciplinary, so the groin pain must be managed by specialized polyvalent units.