Our Summary

This research paper discusses a case of a 59-year-old man who suffered from long-term groin pain after a hernia repair operation. The usual methods of managing the pain didn’t work for him. His pain was caused due to irritation in his nerves, likely from the surgical mesh or stitches used in the hernia repair. The doctors decided to remove three of his nerves without taking out the original mesh used in the initial hernia repair. This procedure provided the patient with significant relief from pain right after surgery, and he reported no pain one month and one year after the procedure. The researchers conclude that treating patients with chronic pain after hernia repair should be done holistically and ideally in a centralized manner. Simple methods should be tried first, but in some cases, nerve removal and mesh removal might be necessary.

FAQs

  1. What was the cause of the patient’s long-term groin pain after hernia repair operation?
  2. What procedure did the doctors perform to alleviate the patient’s pain?
  3. What do the researchers suggest for treating patients with chronic pain after hernia repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hernia repair is to follow post-operative care instructions carefully to ensure proper healing and minimize the risk of complications. This may include avoiding heavy lifting, staying hydrated, eating a healthy diet, and gradually returning to physical activity as advised by your healthcare provider. Additionally, it’s important to communicate any concerns or changes in symptoms to your doctor promptly to address any issues that may arise during the recovery process.

Suitable For

Patients who are typically recommended hernia repair are those who are experiencing symptoms such as pain, discomfort, or a noticeable bulge in the abdomen or groin area. Hernias can occur in both men and women of all ages, but they are more common in men. Other factors that may increase the likelihood of needing hernia repair include:

  • Age: Hernias are more common in older individuals due to weakened abdominal muscles.
  • Obesity: Excess weight can put added pressure on the abdominal muscles, increasing the risk of hernias.
  • Pregnancy: The strain of pregnancy can weaken the abdominal muscles, making women more prone to developing hernias.
  • Chronic cough or constipation: Conditions that cause frequent straining can also weaken the abdominal muscles and lead to hernias.
  • Family history: Individuals with a family history of hernias may be more likely to develop one themselves.

Overall, patients who are experiencing symptoms of a hernia should consult with a healthcare provider to determine the best course of treatment, which may include hernia repair surgery.

Timeline

Before hernia repair:

  1. Patient experiences symptoms of a hernia such as a bulge in the abdomen, pain or discomfort, and difficulty lifting heavy objects.
  2. Patient consults with a healthcare provider who confirms the diagnosis of a hernia through physical examination and imaging tests.
  3. Patient and healthcare provider discuss treatment options, including surgery to repair the hernia.
  4. Patient undergoes pre-operative evaluations and preparations for the hernia repair surgery.

After hernia repair:

  1. Patient undergoes hernia repair surgery, which may involve the use of surgical mesh or stitches to reinforce the weakened abdominal wall.
  2. Patient experiences post-operative pain, swelling, and discomfort in the surgical site.
  3. Patient is discharged from the hospital and instructed on post-operative care, including pain management and activity restrictions.
  4. Patient follows up with the healthcare provider for post-operative evaluations and monitoring of recovery.
  5. Patient gradually resumes normal activities and experiences improvement in symptoms as the surgical site heals.
  6. In some cases, patients may develop chronic pain or complications related to the hernia repair, which may require further interventions such as nerve removal or mesh removal.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hernia repair surgery?

  2. What type of hernia repair surgery will be performed and why is this the best option for me?

  3. How long is the recovery period after hernia repair surgery and what can I expect during this time?

  4. Will I need to follow any specific post-operative care instructions or restrictions?

  5. What are the chances of the hernia recurring and what can I do to prevent this from happening?

  6. Are there any alternative treatment options to hernia repair surgery that I should consider?

  7. How long has the surgeon been performing hernia repair surgeries and what is their success rate?

  8. Will I need to have any follow-up appointments or tests after the surgery?

  9. What should I do if I experience any unusual symptoms or complications after the surgery?

  10. How likely is it that I will experience chronic pain after hernia repair surgery and what are the potential treatment options for managing this pain?

Reference

Authors: Jíšová B, Hladík P, East B. Journal: Rozhl Chir. 2023;102(9):363-365. doi: 10.33699/PIS.2023.102.9.363-365. PMID: 38286665