In the literature, chronic groin pain (i.e. lasting >3 months) occurs in about 10 % of patients who undergo inguinal hernioplasty with prosthesis; it is characterized by a broad range of symptoms, and is relative to individual perceptions of pain. In 2-5 % of cases, the painful symptomatology is so intense that it interferes with daily activities, and can be debilitating in 0.5-6 % of cases. The best known cause of inguinodynia is neuropathy, due to implication of one or more inguinal nerves (iliohypogastric, ilioinguinal, and genitofemoral nerves) into fibroblastic processes; or from nervous stimulation caused by prosthetic material on adjacent nervous trunks. Many therapeutic strategies have been proposed to treat chronic groin pain, including intra-operative prophylactic neurectomy.

Wide resection of inguinal nerves versus simple section to prevent postoperative pain after prosthetic inguinal hernioplasty: our experience / Zannoni, Marco; Luzietti, Enrico; Viani, Lorenzo; Nisi, Piercosimo; Caramatti, Cecilia; Sianesi, Mario. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 38:5(2014), pp. 1037-43-1043. [10.1007/s00268-013-2363-4]

Wide resection of inguinal nerves versus simple section to prevent postoperative pain after prosthetic inguinal hernioplasty: our experience

ZANNONI, Marco;LUZIETTI, Enrico;VIANI, Lorenzo;NISI, Piercosimo;CARAMATTI, Cecilia;SIANESI, Mario
2014

Abstract

In the literature, chronic groin pain (i.e. lasting >3 months) occurs in about 10 % of patients who undergo inguinal hernioplasty with prosthesis; it is characterized by a broad range of symptoms, and is relative to individual perceptions of pain. In 2-5 % of cases, the painful symptomatology is so intense that it interferes with daily activities, and can be debilitating in 0.5-6 % of cases. The best known cause of inguinodynia is neuropathy, due to implication of one or more inguinal nerves (iliohypogastric, ilioinguinal, and genitofemoral nerves) into fibroblastic processes; or from nervous stimulation caused by prosthetic material on adjacent nervous trunks. Many therapeutic strategies have been proposed to treat chronic groin pain, including intra-operative prophylactic neurectomy.
Wide resection of inguinal nerves versus simple section to prevent postoperative pain after prosthetic inguinal hernioplasty: our experience / Zannoni, Marco; Luzietti, Enrico; Viani, Lorenzo; Nisi, Piercosimo; Caramatti, Cecilia; Sianesi, Mario. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 38:5(2014), pp. 1037-43-1043. [10.1007/s00268-013-2363-4]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2786917
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