Chronic neuropathic pain is a well-recognized complication of inguinal hernia repair. We report a 47-year-old man suffering from chronic neuropathic postherniorrhaphy pain. Planned ilioinguinal and iliohypogastric nerve blocks were not possible because excessive surgical scarring had distorted the sonoanatomy. We therefore performed transversalis fascia plane block with local anesthetic and steroid that resulted in long-term pain relief. This block has been successfully used in the past for providing postoperative analgesia in the L1 dermatome, but its role in chronic pain is unreported.
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Article Synopsis
- Hernias can cause small bowel obstructions, and they vary by where they occur and what they contain.
- The case report highlights a unique type of hernia called a peritoneal invagination hernia, located on the right side of the abdominal wall, which causes the small bowel to become trapped.
- This hernia is distinct from others, with a specific circular defect, and may result from a previous inflammation within the abdomen.
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