Pain control following inguinal herniorrhaphy: current perspectives

被引:86
作者
Bjurstrom, Martin F. [1 ]
Nicol, Andrea L. [2 ]
Amid, Parviz K. [3 ]
Chen, David C. [3 ]
机构
[1] Univ Calif Los Angeles, Dept Anesthesiol, Los Angeles, CA 90024 USA
[2] Univ Kansas, Dept Anesthesiol, Kansas City, KS USA
[3] Univ Calif Los Angeles, Lichtenstein Amid Hernia Clin, Dept Surg, Los Angeles, CA USA
关键词
inguinodynia; chronic postherniorrhaphy inguinal pain; inguinal hernia; CHRONIC POSTSURGICAL PAIN; GROIN HERNIA REPAIR; ILIOINGUINAL/ILIOHYPOGASTRIC NERVE BLOCKS; SPINAL-CORD STIMULATION; LONG-TERM PAIN; NEUROPATHIC PAIN; RISK-FACTORS; POSTHERNIORRHAPHY PAIN; GENITOFEMORAL NERVE; POSTOPERATIVE PAIN;
D O I
10.2147/JPR.S47005
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Inguinal hernia repair is one of the most common surgeries performed worldwide. With the success of modern hernia repair techniques, recurrence rates have significantly declined, with a lower incidence than the development of chronic postherniorrhaphy inguinal pain (CPIP). The avoidance of CPIP is arguably the most important clinical outcome and has the greatest impact on patient satisfaction, health care utilization, societal cost, and quality of life. The etiology of CPIP is multifactorial, with overlapping neuropathic and nociceptive components contributing to this complex syndrome. Treatment is often challenging, and no definitive treatment algorithm exists. Multidisciplinary management of this complex problem improves outcomes, as treatment must be individualized. Current medical, pharmacologic, interventional, and surgical management strategies are reviewed.
引用
收藏
页码:277 / 290
页数:14
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