Erschienen in:
01.06.2013 | Comment
Invited commentary: persistent pain after inguinal hernia repair: what do we know and what do we need to know?
verfasst von:
H. Kehlet, R. M. Roumen, W. Reinpold, M. Miserez
Erschienen in:
Hernia
|
Ausgabe 3/2013
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Excerpt
Over the last 15 years, there is a general agreement that persistent pain complaints after groin hernia repair, which affects daily activities in about 2–10 % of patients, may be the most relevant outcome compared to the previous focus on recurrences [
1]. The current issue of Hernia includes several papers on chronic post herniorrhaphy pain which deal with the prevention (role of gender, surgical approach, type of mesh and fixation methods), and the treatment (therapeutic blocks with local anaesthetics, surgical treatment) is therefore both relevant and timely. However, despite an overwhelming amount of publications on the topic, there is still a lack of sufficient knowledge to guide the hernia surgeon as to relevant preoperative risk factors, choice of surgical technique at the primary operation or the evidence for (non-)surgical therapy for established chronic pain, and the future strategies for improvement. …
