Bower S, Moore B B, Weiss S M
Department of Surgery, Polyclinic Medical Center, Harrisburg, Pennsylvania, USA.
Am Surg. 1996 Aug;62(8):664-7.
Severe chronic pain after groin hernia repair is uncommon but potentially debilitating. Fifteen patients with this condition were retrospectively reviewed. All patients had severe pain, which prevented their working or normal activity and was refractory to nonoperative treatment. Essentials of therapy included 1) a preoperative attempt to identify the involved nerve and 2) high ligation and division of the involved nerve identified at exploration. Twelve patients obtained excellent results and were able to return to normal activity with no requirement for analgesia. Understanding of the typical nerve anatomy, as well as the individual variation in nerve anatomy, can help prevent this complication and is essential for correction if the complication does develop.
腹股沟疝修补术后的严重慢性疼痛并不常见，但可能使人衰弱。对15例患有这种情况的患者进行了回顾性研究。所有患者都有严重疼痛，这妨碍了他们工作或正常活动，并且对非手术治疗无效。治疗要点包括：1）术前尝试识别受累神经；2）在探查时对识别出的受累神经进行高位结扎和切断。12例患者取得了优异效果，能够恢复正常活动，无需镇痛。了解典型的神经解剖结构以及神经解剖结构的个体差异，有助于预防这种并发症，并且如果并发症确实发生，对于纠正至关重要。
