Cause and Treatment of Chronic Pain after Tension-Ｆree Repair of Inguinal Hernia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WU Q iang , YU Y ou , WANG C an

Department of General Surgery, The Fourth People’s Hospital of Chongqing City, Chongqing 400014, ChinaCorresponding Author: WU Q iang, E-mail: wuqiang120@163.com;

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Keywords：

Tension-free hernioplasty; Chronic pain; Polyprophelene; Polytetrafluoroethylene

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Objective To explore the cause and treatment of chronic pain after tension-free repair of inguinal hernia.
Methods 〗The clinical data of 426 cases with inguinal hernia underwent the tension-free hernioplasty during February 2002 to September 2007 were retrospectively analyzed.
Results 〗Tension-free hernioplasty was performed to all patients. According to operative methods, they were divided into two groups: polypropylene filling group (n=210) and expanded polytetrafluoroethylene (e-PTFE) mycromesh group (n=216). The chronic pain rate after operation, polypropylene filling group (9.0%, 19/210) was significantly higher than e-PTFE mycromesh group (4.2%, 9/216)， P＜0.05.
Conclusion 〗The tension-free repair by e-PTFE mycromesh has less pain in the inguinal hernia due to the material is more suitable to human physiology, more soft and light, with less complications.

Citation： WU Q iang,YU Y ou,WANG C an. Cause and Treatment of Chronic Pain after Tension-Ｆree Repair of Inguinal Hernia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(2): 95-97. doi: Copy

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1. 马颂章，郑民华. 成人腹股沟疝、股疝手术治疗方案（修订稿） [Ｊ] . 中华普通外科杂志， 2004； 19(2)：126.
2. Kurzer M, Belsham PA, Kark AE. The Lichtenstein repair [Ｊ] . Surg Clin North Am, 1998； 78(6)：1025.
3. Zib M, Gani J. Inguinal hernia repair: where to next? [Ｊ] . ANZ J Surg, 2002; 72(8)：573.
4. 张立成，石俊忠，孙惠军. 无张力疝修补术后慢性疼痛原因和对策 [Ｊ] . 中华全科杂志， 2008； 6(8)：829.
5. 马颂章. 腹股沟疝修补的现况和展望 [Ｊ] . 外科理论与实践， 2005； 10(2)：109.
6. Gilbert AI. An anatomic and functional classification for the diagnosis and treatment of inguinal hernia [Ｊ] . Am J Surg, 1989; 157(3)：331.
7. Robbins AW, Rutkow IM. Mish plug repair and groin hernia surgery [Ｊ] . Surg Clin North Am, 1998; 78(6)：1007.
8. 潘雷，侯昌映. 疝环充填式无张力疝修补术在腹外疝中的应用（附58例报告） [Ｊ] . 中国普外基础与临床杂志， 2003； 10(5)：492.
9. Lichtenstein IL, Shulman AG, Amid PK, et al. Cause and prevention of postherniorrhaphy neuralgia: a proposed protocol for treatment [Ｊ] . Am J Surg, 1988; 155(6)：786.
10. 马颂章. 疝和腹壁外科的现状与进展 [Ｊ] . 中国普外基础与临床杂志， 2003； 10(1)：1.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Cause and Treatment of Chronic Pain after Tension-Ｆree Repair of Inguinal Hernia

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