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Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and ...
Laparoscopic mesh surgery, as compared to open mesh surgery Advantages Disadvantages Quicker recovery; Less pain during the first few days following the procedure; Fewer postoperative complications such as infections, bleeding and seromas; Lower risk of chronic pain
Surgical correction of inguinal hernias is called a hernia repair. It is not recommended in minimally symptomatic hernias, for which watchful waiting is advised, due to the risk of post herniorraphy pain syndrome .
Biologic mesh is primarily indicated for several types of hernia repair, including inguinal and ventral hernias, hernia prophylaxis, and contaminated hernia repairs. However, it has also been used in pelvic floor dysfunction, parotidectomy, and reconstructive plastic surgery.
Efforts must first be made to identify and treat the underlying cause of the problem. Treatment options include eye exercises, wearing an eye patch on alternative eyes, prism correction, and in more extreme situations, surgery or botulinum toxin.
Surgical mesh is a medical implant made of loosely woven mesh, which is used in surgery as either a permanent or temporary structural support for organs and other tissues. Surgical mesh can be made from both inorganic and biological materials and is used in a variety of surgeries, although hernia repair is the most common application.
Hernia repair is a surgical operation for the correction of a hernia —a bulging of internal organs or tissues through the wall that contains it. It can be of two different types: herniorrhaphy; or hernioplasty. [1] This operation may be performed to correct hernias of the abdomen, groin, diaphragm, brain, or at the site of a previous operation.
Complications of the surgery are rare, including pain and infection, which may require implant removal in 5% of cases. The effects of SNS may include increased resting and squeeze anal tone, and improved rectal sensitivity. There is reported reduction of involuntary loss of bowel contents and increased ability to postpone defecation.
Some complications from surgery in order of prevalence include a seroma / hematoma formation, urinary retention, neuralgias, testicular pain/swelling, mesh infection/wound infection, and recurrence. [45] A seroma is often seen after an indirect hernia repair and resolves spontaneously over 4–6 weeks.
The lesions may cause chronic blood loss resulting in iron deficiency anemia; less often they cause acute bleeding. Treatment of anemia with Cameron lesions includes iron supplements and acid suppression by a proton-pump inhibitor (PPI). Surgical hernia repair is sometimes needed.
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