Krpata David M
Cleveland Clinic Lerner College of Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Surg Clin North Am. 2023 Oct;103(5):889-900. doi: 10.1016/j.suc.2023.04.003. Epub 2023 May 11.
Chronic postoperative inguinal pain, CPIP, afflicts 10% to 15% of the nearly 700,000 Americans who have inguinal hernia surgery every year. CPIP is challenging to manage because it poses many diagnostic dilemmas that can be overcome with a thorough history, examination, differential diagnosis, and imaging. The initial treatment of CPIP should explore all nonsurgical therapies including medications, physical therapy, interventional pain management and cognitive therapy. When nonoperative methods fail, surgical interventions including neurectomy and hernia mesh removal have proven to be beneficial for patients with CPIP.
慢性术后腹股沟疼痛（CPIP）困扰着每年近70万接受腹股沟疝修补手术的美国人中的10%至15%。CPIP的治疗颇具挑战性，因为它带来了许多诊断难题，而通过全面的病史、检查、鉴别诊断和影像学检查可以克服这些难题。CPIP的初始治疗应探索所有非手术疗法，包括药物治疗、物理治疗、介入性疼痛管理和认知疗法。当非手术方法失败时，包括神经切除术和疝修补网片移除在内的手术干预已被证明对CPIP患者有益。
