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RMJ. 2015; 40(4): 388-391


Chronic Pain after Liechtenstein Mesh Repair for Inguinal Hernia: A review of 114 patients

Syed Fahd Shah, Sania Hameed, Jehanzeb Khan Aurakzai, Muhammad Amjad Chaudhary, Syed Hussain Shah, Syed Zubair Shah.

Abstract
Objective: To determine factors related to chronic persistent pain lasting more than 6 months after mesh repair for inguinal hernia.
Methodology: This study included 114 patients who underwent elective inguinal hernioplasty at Department of General Surgery, Federal General Hospital, Islamabad, Pakistan from July 2012 to December 2014. All were followed upto end of six months. Postoperatively pain was recorded at second, seventh and fourteen day and at the end of six months on Visual Analogue Scale.
Results: Chronic pain at six-month follow up was present in 37 (32.45%) patients. The incidence of factors responsible for chronic pain were pain before surgery in 22 (19.29%), early postoperative pain in 10 (8.77%) of patients, wound infection in 2 (1.75%), hematoma formation in 3 (2.63%), and seroma formation in 4 (3.508%) patients.
Conclusion: Chronic pain after mesh repair for inguinal hernia causes significant morbidity. Early recognition and management of the factors prevents patient morbidity.

Key words: Inguinal Hernia, Mesh Repair, Liechtenstein repair



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