title: [Chronic pain after groin hernia repair].
abstract: Multiple mechanisms are responsible for persistent postherniotomy pain, including preoperative pain hypersensitivity, other chronic pain states and intraoperative nerve injury. Currently, the primary preventive techniques are intraoperative nerve identification/sparing in open surgery or use of laparoscopic surgery with non-fixed mesh. The choice between pharmacological intervention and re-exploration is debatable. A centralisation of the Danish patients with regard to evaluation and treatment is proposed.
authors.affiliation: Enhed for Kirurgisk Patofysiologi, Rigshospitalet, 2100 København Ø, Denmark. henrik.kehlet@rh.regionh.dk
authors.forename: Henrik
authors.initials: H
authors.lastname: Kehlet
authors.forename: Eske Kvanner
authors.initials: EK
authors.lastname: Aasvang
mesh_terms: D000328:Adult; D002908:Chronic Disease; D002983:Clinical Competence; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis; D010535:Laparoscopy; D008297:Male; D009437:Neuralgia / Q000209:etiology / Q000517:prevention & control; D058748:Pain Perception; D010149:Postoperative Pain / Q000188:drug therapy / Q000209:etiology* / Q000517:prevention & control; D019990:Perioperative Care; D059348:Peripheral Nerve Injuries; D012008:Recurrence; D012086:Reoperation; D012307:Risk Factors