Pain after hernia operation
The pain in the
groin three months after surgery are not uncommon. 10 to 15% of surgical
patients suffer.
These chronic
pain seem more frequent in young patients active and lean.
It is
neuropathic pain as evidenced by the language used by the patient to describe
it.
(burning,
cutting, stabbing).
Pain that is
related to a lack of inhibition of spinal system control, which normally
interrupts the pain message.
This pain can be
related to:
- Injury of a
peripheral nerve (neuroma, electric pain or deafferentation pain, this one
moving in paroxysms on a permanent foundation).
- It can be a
referred pain away from hollow inguinal related example with nerve irritation
by a foreign body such as a clip or a prosthesis.
It remains
possible that the surgical technique has an influence on the occurrence of
pain, but this remains to be proven.
The consequences
of these pains are a decrease in physical activity and sport in particular.
This can hinder
the standing, walking, and can make up a single hard chair.
The impact of
this pain can affect the social or sexual life of the patient.
TREATMENT
The usual
analgesics are relatively ineffective as anti-inflammatory.
So treatment
depends on the cause.
The removal of
staples or prosthetic materials may be considered.
A nerve block
can sometimes bring real relief.
Sometimes nerve
resection or alcohol may be considered.
Sometimes the
removal of adhesions that could grip a nerve is essential.
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