Severe Groin Pain After Total Extraperitoneal (TEP) Laparoscopic Hernioplasty: Report of A Case And Review of Literatures
萬禮傑(Ban Lee-Kiat);戴鋒泉(Tai Feng-Chuan)
Postherniorrhaphy pain may be encountered in approximately II% of patients following inguinal hernia surgery. Here we reported a 63 years old male patient experienced debilitating pain after TEP, which limited his daily activities. The etiopathogenesis of pain was classified into neuropathic and non-neuropathic. Neuropathic pain may be resulting from nerve injury or compression, of which nonneuropathic pain coming from scar tissue or seroma formation. It is clinically importance to distinguish between these two types of pain because treatment can be different. In some cases, it may warrant return to the operating room to remove those foreign material. Prevention of this condition is of great importance and can lowers the incidence of postoperative pain. It is advisable to avoid application of tacks or staples directly to the pubis periosteum, as well as avoid injury to the nerves in the groin. The last measure is certainly the most important in the prevention of postherniorrhaphy pain, involves thorough knowledge of neuroanatomy and the use of refined technique.