Objective: Postherniorrhaphy pain is a not uncommon, and difficult to treat, pain condition. Success with different methods of neurostimulation has been reported in the literature in the last decade. We assess the use of a new modality of neuromodulation--spinal-peripheral neurostimulation (SPN).
Materials And Methods: We report the results of treatment of a patient with bilateral, intractable postherniorrhaphy pain with SPN.
Results: Significant reduction in pain and decrease in opioid consumption have been achieved.
Conclusion: SPN can be an effective treatment for postherniorrhaphy pain resistant to conservative management.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/j.1525-1403.2012.00495.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effect of ultrasound-guided ilioinguinal-iliohypogastric nerve block on chronic pain in patients undergoing open inguinal hernia surgery under spinal anesthesia: a randomized double-blind study.
Korean J Pain
October 2024
Department of Anaesthesiology, Kalinga Institute of Medical Sciences, KIIT Deemed To be University, Bhubaneswar, Odisha, India.
Background: Pre-operative ilioinguinal-iliohypogastric nerve block (II-IHNB) has a proven role in lessening acute postoperative pain and opioid consumption following hernia repair. However, its role in preventing post-herniorrhaphy groin pain (PHGP) is still unknown. The current study aims to assess pre-operative II-IHNB's impact on PHGP three and six months after open inguinal hernia repair under spinal anesthesia.
View Article and Find Full Text PDFUse of corticosteroids for adult chronic pain interventions: sympathetic and peripheral nerve blocks, trigger point injections - guidelines from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, the International Pain and Spine Intervention Society, and the North American Spine Society.
Reg Anesth Pain Med
August 2024
Anesthesia, McMaster University, Hamilton, Ontario, Canada.
Article Synopsis
- Corticosteroid injections can cause negative side effects like increased blood sugar and decreased bone density, yet lower doses may provide similar benefits as higher ones.
- The American Society of Regional Anesthesia and Pain Medicine, along with other societies, created practice guidelines focusing on injection safety, efficacy, and adverse events from corticosteroid use in chronic pain management.
- The final guidelines, which were developed through expert reviews and strong consensus, cover specific areas such as nerve blocks and joint injections to ensure safe and effective treatment protocols.
Surgical Treatment of Neuropathic Chronic Postherniorrhaphy Inguinal Pain: A Systematic Review and Meta-Analysis.
J Clin Med
May 2024
Department of Plastic, Reconstructive Surgery and Handsurgery, Erasmus Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands.
: Neuropathic chronic postherniorrhaphy inguinal pain (CPIP) is a serious adverse outcome following inguinal hernia repair surgery. The optimal surgical treatment for neuropathic CPIP remains controversial in the current literature. This systematic review aims to evaluate the effectiveness of various surgical techniques utilized to manage neuropathic CPIP.
View Article and Find Full Text PDFThe association of permanent versus absorbable fixation on developing chronic post-herniorrhaphy groin pain in patients undergoing laparoscopic inguinal hernia repair.
Surg Endosc
June 2024
Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA.
Introduction: Fixation of mesh during minimally invasive inguinal hernia repair is thought to contribute to chronic post-herniorrhaphy groin pain (CGP). In contrast to permanent tacks, absorbable tacks are hypothesized to minimize the likelihood of CGP. This study aimed to compare the rates of CGP after laparoscopic inguinal hernia repair between absorbable versus permanent fixation at maximum follow-up.
View Article and Find Full Text PDFNovel modification of Marcy operation for indirect inguinal hernia reconstituting deep inguinal ring shutter action.
Hernia
February 2023
3Rd Grade Student, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Purpose: The two most frequent and significant complications after inguinal hernia repair are hernia recurrence and post-herniorrhaphy chronic pain. To add anatomic and physiologic strength to the tissue repair, especially in indirect inguinal herniorrhaphy, we devised a modification of Marcy operation that can reconstitute inguinal shutter action more efficiently by changing the direction of the sutures vertical to horizontal.
Methods: During 36 months from 1st Jan.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!