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Chronic postoperative pain following inguinal hernia repair that improved by laparoscopic resection of the mesh Takuji OTA 1 , Yoshito WATANABE 1 1Department of Surgery, Otaru General Hospital Keyword: 鼠径ヘルニア , 術後慢性疼痛 , メッシュ除去 pp.371-375
Published Date 2017/5/15
DOI https://doi.org/10.11477/mf.4426200413
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Chronic postoperative pain following inguinal hernia repair has been defined as pain that develops after the operation and lasts for at least 6 months. Recently, we experienced a case of a 39-year-old woman who had undergone open hernia surgery 12 years previously. She complained of left inguinal pain that appeared several years previously. She had no Tinel sign or burning sensation. However, movement of the hip joint worsened her pain. Computed tomography showed that the mesh had not unfolded completely and the hernia had not relapsed. We strongly suspected that her chronic pain was associated with inguinal hernia repair. She requested surgical treatment, and laparoscopic surgery was performed for removal of the mesh from the operation site. During surgery, we noted that the mesh was protruding into the peritoneal cavity and was attached to surrounding tissues. Therefore, it was difficult to remove the entire mesh. The area with the mesh was partially resected and the untreated area was repaired to prevent recurrence. Her inguinal pain disappeared immediately after the surgery. It is important to assess postoperative pain and examine whether tissue or nerve injury is present. We believe that the laparoscopic approach is useful for mesh removal and recognizing anatomical positions.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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