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Jaimini Jagdishbhai Jayswal, Chirag Parikh


Introduction: Chronic pain after inguinal hernia surgery is common and varies from 0% to 37%.

Aims and Objectives: To find incidence of chronic pain after inguinal hernioplasty: a prospective study of 95 patients.

Material and Methods: Study carried out at the department of Surgery of a tertiary health care center for 1 year duration. Total 95 patients of which 61 were operated for unilateral and 34 for bilateral hernia repair; were assed for the pain at the operated site by Visual Analogue scale.

Result: As time since operation increases no of the patients with Severity grade (7-10) of Pain were decreased. Chronic pain was observed more with open repair (4.25%) compared with laparoscopic repair (0%).

Conclusion: Number of the patients with Severity grade (7-10) of Pain were decreased with time. Significantly more number of patients with the open hernia repair were having chronic pain as compared to laparoscopic repair.


Inguinal hernioplasty, Chronic pain, VAS (Visual Analogue Scale), Herniorrhaphy, Laparoscopic repair, Nerves.

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Aasvang E, and Koehler H. (2005). “Chronic postoperative pain: the case of inguinal herniorrhaphy”, Br J Anaesth, Vol.95(1), pp.69-76.

Bower S, Moore BB, and Weiss SM. (1996). “Neuralgia after inguinal hernia repair”, Am Surg, Vol.62, pp.664-667.

Burney RE, Jones KR, and Coon JW, et al. (1997). “Core outcomes measures for inguinal hernia repair”, J Am Coll Surg, Vol.185, pp.509-515.

Colleen T, and Koehler H. (1997). “Postherniorrhaphy pain”, Anesthesiology, Vol.87, pp.1219-1230.

Colleen T, Bech K, and Koehler H. (1999). “Prospective study of chronic pain after groin hernia repair”, Br J Surg, Vol.86, pp.1528-1531.

Cunningham J, Temple WJ, and Mitchell P, et al. (1996). “Cooperative Hernia Study. Pain in the post repair patient”, Ann Surg, Vol.224, pp.598-602.

Deysine M, Grimson RC, and Soroff HS. (1991). “Inguinal herniorrhaphy. Reduced morbidity by service standardization”, Arch Surg, Vol.126, pp.628-630.

Dirksen CD, Beets GL, and Go PM, et al. (1998). “Bassini repair compared with laparoscopic repair for primary inguinal hernia: a randomized controlled trial”, Eur J Surg, Vol.164, pp.439-447.

Gillion JF, and Fagniez PL. (1999). “Chronic pain and cutaneous sensory changes after inguinal hernia repair: comparison between open and laparoscopic techniques”, Hernia, Vol.3, pp.75-80.

Grant AM, Scott NW, O'Dwyer PJ. and on behalf of the MRC Laparoscopic Groin Hernia Trial Group. (2004). “Five-year follow-up of a randomized trial to assess pain and numbness after laparoscopic or open repair of groin hernia”, Br J Surg, Vol.91, pp.1570-1574. doi:10.1002/bjs.4799

Hay JM, Boudet MJ, and Fingerhut A, et al. (1995). “Shouldice inguinal hernia repair in the male adult: the gold standard? A multicenter controlled trial in 1,578 patients”, Ann Surg, Vol.222, pp.719-727.

Heise CP, and Starling JR. (1998). “Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy?”, J Am Coll Surg, Vol.187, pp.514-518.

International Association for the Study of Pain, Subcommittee on Taxonomy. (1986). “Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms”, Pain Suppl, Vol.3, pp.S1–226.

Koning GG, Wetterslev J, van Laarhoven CJHM, and Keus F. (2013). “The Totally Extraperitoneal Method versus Lichtenstein's Technique for Inguinal Hernia Repair: A Systematic Review with Meta-Analyses and Trial Sequential Analyses of Randomized Clinical Trials”, PLos One, Vol.8(1), e52599, available online:

Lawrence K, McWhinnie D, Goodwin A, Doll H, Gordon A, Gray A, Britton J, and Collin J. (1995). “Randomised controlled trial of laparoscopic versus open repair of inguinal hernia: early results”, Vol.311(7011), pp.981-985.

Liem MS, van der Graaf Y, and van Steensel CJ, et al. (1997). “Comparison of conventional anterior surgery and laparoscopic surgery for inguinal hernia repair”, N Engl J Med, Vol.336, pp.1541-1547.

McCormack K, Go PM, and Ross S, et al. (2003). “Laparoscopic techniques versus open techniques for inguinal hernia repair: the Cochrane Library”, Update Software, (CD 1785).

Nordin P, Haapaniemi S, and van der Linden W, et al. (2004). “Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair”, Ann Surg, Vol.240, pp.187-192.

Patino J. (2002). “A history of the treatment of hernia”, In: Nyhus LM CR. (ed). “Hernia”, 5th edition. Lippincott, Philadelphia, pp.17-28.

Rutkow IM, and Robbins AW. (1998). “The mesh plug technique for recurrent groin herniorrhaphy: a nine-year experience of 407 repairs”, Surgery, Vol.124, pp.844-847.

Simons MP, Aufenacker T, and Bay-Nielsen M, et al. (2009). “European Hernia Society guidelines for the treatment of inguinal hernia in adult patients”, Hernia, Vol.13(4), pp.343-403.

The MRC Laparoscopic Groin Hernia Trial Group. (1999). “Laparoscopic versus open repair of groin hernia: a randomized comparison”, Lancet, Vol.354, pp.185-190.

Wellwood J, Sculpher MJ, Stoker D, Nicholls GJ, Geddes C, Whitehead A, Singh R, and Spiegelhalter D. (1998). “Randomised controlled trial of Laproscopic versus open mesh repair for inguinal hernia”, BMJ, Vol.317(7151), pp.103-110.

Wright D, Paterson C, Scott N, Hair A, and O’Dwyer PJ. (2002). “Five-Year Follow-Up of Patients Undergoing Laparoscopic or Open Groin Hernia Repair”, Ann Surg, Vol.235(3), pp.333-337.


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