Abstract
Chronic pain after hernia repair can be a devastating problem. In some cases, an operation in an attempt to relieve chronic pain is performed. One factor that can contribute to chronic pain after hernia repair is the presence of mesh. Mesh removal can be done laparoscopically for mesh in the preperitoneal space and through an open incision for mesh placed more superficially. For some patients, both a laparoscopic and an open procedure are required to remove mesh. Mesh removal can be a challenging operation. This chapter presents the options for the treatment of chronic pain after hernia repair and focuses on the surgical approaches, including mesh removal.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Bay-Nielsen M, Perkins FM, Kehlet H. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001;233(1):1–7.
Zendejas B, Ramirez T, Jones T, Kuchena A, Ali SM, Hernandez-Irizarry R, et al. Incidence of inguinal hernia repairs in Olmsted County, MN: a population-based study. Ann Surg. 2013;257(3):520–6.
Rosenquist RW, Vrooman BM. Chronic pain management. In: Butterworth JF, Mackey DC, Wasnick JD, editors. Morgan and Mikhail’s clinical anesthesiology. 5th ed. New York: McGraw-Hill; 2013. p. 1023–86.
Aasvang EK, Gmaehle E, Hansen JB, Gmaehle B, Forman JL, Schwarz J, et al. Predictive risk factors for persistent postherniotomy pain. Anesthesiology. 2010;112(4):957–69.
Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, et al. Update with level 1 studies of the European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014;18(2):151–63.
Bignell M, Partridge G, Mahon D, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal-TAPP) versus open (mesh) repair for bilateral and recurrent inguinal hernia: incidence of chronic groin pain and impact on quality of life: results of 10 year follow-up. Hernia. 2012;16(6):635–40.
Alfieri S, Rotondi F, Di Giorgio A, Fumagalli U, Salzano A, Di Miceli D. Influence of preservation versus division of ilioinguinal, iliohypogastric and genital nerves during open mesh herniorrhaphy: prospective multicentric study of chronic pain. Ann Surg. 2006;243(4):553–8.
Sajid MS, Leaver C, Baig MK, Sains P. Systematic review and meta-analysis of the use of lightweight versus heavyweight mesh in open inguinal hernia repair. Br J Surg. 2012;99(3):29–37 (Author reply 446).
Sajid MS, Kalra L, Parampalli U, Sains PS, Baig MK. A systematic review and meta-analysis evaluating the effectiveness of lightweight mesh against heavyweight mesh in influencing the incidence of chronic groin pain following laparoscopic inguinal hernia repair. Am J Surg. 2013;205(6):726–36.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Cunningham, L.A., Ramshaw, B. (2016). Mesh Removal for Chronic Pain: A Review of Laparoscopic and Open Techniques. In: Jacob, B., Chen, D., Ramshaw, B., Towfigh, S. (eds) The SAGES Manual of Groin Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-21587-7_23
Download citation
DOI: https://doi.org/10.1007/978-3-319-21587-7_23
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-21586-0
Online ISBN: 978-3-319-21587-7
eBook Packages: MedicineMedicine (R0)