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2020, Number 3

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Rev Mex Cir Endoscop 2020; 21 (3)

Laparoscopic treatment in ilioinguinal nerve entrapment as a cause of disabling acute pain: Case report and literature review

Obregón MJG, Maldonado GEL, Decanini TC?, Vega JM, López YI

Language: Spanish
References: 22
Page: 158-162
PDF size: 206.32 Kb.


ABSTRACT

Introduction: Acute inguinal pain is considered from the immediate postoperative period until 30 days. Inguinal pain of neural origin is an especially serious complication after a hernioplasty. Nerve injury can occur by direct trauma or by entrapment during the healing process. Case presentation: A 42-year-old female with no significant pathological history reported a surgical history of laparoscopic bilateral inguinal plasty three weeks ago. He began current condition in the immediate postoperative period two weeks ago with pain in the left inguinal region treated with neuromodulators, anxiolytics, antidepressants and neural block by mapping, laparoscopy is performed with three ports, intentional search for the emergence of the ilioinguinal nerve at the triangle level is performed of laparoscopic pain; finding a tack just in the emergency of said nerve and removal of previous mesh because it presented migration and did not cover deep inguinal hole with new mesh placement and fixation with glue, the patient evolved satisfactorily. Conclusion: Acute pain in the immediate postoperative period is an entity that rarely requires surgical exploration unless it is disabling and does not respond to the different lines of conservative management.


REFERENCES

  1. Callesen T, Bech K, Nielsen R, Andersen J, Hesselfeldt P, Roikjaer O et al. Pain after groin hernia repair. Br J Surg. 1998; 85: 1412-1414.

  2. Hidalgo M, Castellón C, Figueroa JM, Eymar JL, Moreno GE. Complicaciones de la cirugía de las hernias. Cir Esp. 2001; 69: 217-223.

  3. Arias CL, Vázquez SH, Kleinfinger MS. Reparación de hernia inguinal laparoscópica con uso de materiales autoexpandibles. Rev Mex Cir Endoscop. 2011; 12: 18.

  4. Moreno-Egea A. Neurectomía laparoscópic a transabdominal preperitoneal como tratamiento de la inguinodinia. Experiencia personal y detalles de la técnica quirúrgica. Rev Hispanoam Hernia. 2018; 6 (2): 69-74.

  5. Rab M, Ebmer And J, Dellon AL. Anatomic variability of the ilioinguinal and genitofemoral nerve: Implications for the treatment of groin pain. Plast Reconstr Surg. 2001; 108: 1618-1623.

  6. Reinpold W, Schroeder AD, Schroeder M, Berger C, Rohr M, Wehrenberg U et al. Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: Consequences for prevention and treatment of chronic inguinodynia. Hernia. 2015; 19: 539-548.

  7. Graham DS, MacQueen IT, Chen DC. International inguinal neuroanatomy: implications for prevention of chronic postinguinal hernia pain. Int J Abdom Wall Hernia Surg. 2018; 1: 1-8.

  8. Morales-Barrios J, Flores-Rangel GA, Chávez-Villacaña E. Inguinodinia. Rev Mex Anest. 2016; 39: 122-128.

  9. Kockerling F, Schug-Pass C. Early Surgical intervention following inguinal hernia repair with severe postoperative pain. Front Surg. 2017; 4: 67.

  10. Donati M, Brancato G, Giglio A, Biondi A, Basile F, Donati A. Incidence of pain after inguinal hernia repair in the elderly. A retrospective historical cohort evaluation of 18-years' experience with a mesh & plug inguinal hernia repair method on about 3000 patients. BMC Surg. 2013; 13: S19.

  11. Demirci A, Mercanoglu E, Türker G, Gurbet A, Kaya F, Anil A et al. Bloqueo de los nervios ileohipogástrico/ilioinguinal en corrección de hernia inguinal para el tratamiento del dolor en el posoperatorio: comparación entre la técnica de marcas anatómicas y la guiada por ultrasonido. Rev Bras Anestesiol. 2014; 64: 350-356.

  12. Funes RJ, Domínguez GL, Ramme CC, Domínguez CL. Síndrome de atrapamiento del nervio ilioinguinal. Acta Médica Grupo Ángeles. 2018; 16: 233-235.

  13. Darwish AA. Tack fixation versus nonfixation of mesh in laparoscopic transabdominal preperitoneal hernia repair. The Egyptian Journal of Surgery. 2016; 35: 327-331.

  14. Lantis JC 2nd, Schwaitzberg SD, Tack entrapment of the ilioinguinal nerve during laparoscopic hernia repair. J LaparoendoscAdv Surg Tech A. 1999; 9: 285-289.

  15. Wolfgang R. Risk factors of chronic pain after inguinal hernia repair: a systematic review. Innov Surg Sci. 2017; 2 (2): 61-68.

  16. The Hernia Surge Group. International guidelines for groin hernia management. Hernia. 2018; 22: 1-165. https://doi.org/10.1007/s10029-017-1668-x.

  17. Lange JF, Kaufmann R, Wijsmuller AR, Pierie JP, Ploeg RJ, Chen DC et al. An international consensus algorithm for management of chronic postoperative inguinal pain. Hernia. 2015; 19 (1): 33-43. doi: 10.1007/s10029-014-1292-y.

  18. Wong J, Anvari M. Treatment of inguinodynia after laparoscopic herniorrhaphy: a combined laparoscopic and fluoroscopic approach to the removal of helical tackers. Surg Laparosc Endosc Percutan Tech. 2001; 11 (2): 148-151.

  19. Zwaans WAR, Koning GG, Gurusamy KS, van Kleef M, Scheltinga MRM, Roumen RMH. Surgical interventions for the management of chronic groin pain after hernia repair (postherniorrhaphy inguinodynia) in adults. Cochrane Database of Systematic Reviews. 2017; 4: CD012630.

  20. Mayagoitia GJ, Baca PJ, Cisneros MH, Domínguez CL. Triple neurectomía laparoscópica por dolor inguinal crónico posoperatorio (inguinodinia). Reporte de caso. Rev Mex Cir Endoscop. 2018; 19: 25-29.

  21. Chen DC, Hiatt JR. Operative management of refractory neuropathic inguinodynia by a laparoscopic retroperitoneal approach. JAMA Surg. 2013; 148: 962-967. doi: 10.1001/jamasurg.2013.3189.

  22. Moreno-Egeaa A, Borras RE. Neurectomía laparoscópica transabdominal retroperitoneal, selectiva y ambulatoria, para tratar el dolor neuropático inguinal refractario. Sociedad Hispanoamericana de Hernia. 2014; 2: 67-71.




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