A 1-Stage Surgical Treatment for Postherniorrhaphy Neuropathic Pain

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Abstract
PROLONGED PAIN (neuralgia) and burning sensation (paresthesia) in the inguinal region after inguinal hernia repair are potentially incapacitating complications that represent a substantial diagnostic and therapeutic challenge. According to Starling et al1 and the number of calls and referrals to the Lichtenstein Hernia Institute, Los Angeles, Calif, the incidence of chronic neuralgia after herniorrhaphy is probably understated. Chronic neuralgia is easily distinguished from normal postoperative pain. The latter occurs immediately after surgery, is easily treated with analgesics, and gradually subsides as the wound heals. Chronic neuralgia, however, is an often debilitating pain that includes paresthesia, hypoesthesia, and dysesthesia. Many patients with this complication also have other problems, such as mood swings, depression, or long-term drug dependency, and often are unable to return to work.

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