Background & Aims

Chronic pain after inguenal hernia treatment remains common, its incidence is estimated between 10 to 12%. Good knowledge of risk factors is essential in order to prevent chronic post-surgical pain, the treatment of which remains insufficient to date. the purpose of this work is to determine the incidence of chronic post-surgical pain and the risk factors of the disease whose impact alters the quality of life of patients.

Methods

This is a prospective single-center descriptive study during the year 2021 – 2022, 109 patients participate in the study, having benefited from an inguenal hernia treatment, the parameters studied are age, sex, defects, duration of intervention, intensity of pain, pain after 3 months, type of pain, treatment and evolution

Results

the average age is 48 years, the sex ratio is 2/1, defects are found among the oldest, diabetes and hypertension are predominant, the average duration of intervention is 1 hour for all interventions are carried out openly, the pain was moderate, after three months chronic pain is found in 8% of cases, the treatment recommended to treat the patients were antidepressants and antiepileptics for neuropathic pain and the WHO levels for nociceptive pain, the evolution is marked by incomplete relief and satisfaction after several days for neuropathic pain

Conclusions

la cure de hernie inguenale semble anodine mais nos resultats montrent qu’elle est pourvoyeuse de douleur chronique, c’est pour cela qu’il est important de determiner les facteurs de risque, de choisir une methode chirurgicale la moins invasive, d’utiliser l’analgesie multimodale, de bien gerer la douleur aigue post operatoire, l’information donnee aux patient a la consultation d’anesthesie aident a la prise en charge, c’est a ce moment la que sont detectes les patients les plus a risques, afin de choisir la meilleure methode de prise en charge.
Traduire du texte avec votre appareil photo
the treatment of inguenal hernia seems harmless but our results show that it causes chronic pain, which is why it is important to determine the risk factors, to choose the least invasive surgical method, to use the multimodal analgesia, to properly manage acute post-operative pain, the information given to patients at the anesthesia consultation helps with management.

References

Campanelli G, Bertocchi V, Cavalli M et al. Surgical treatment of
chronic pain after inguinal hernia repair. Hernia 2013;17:347-53.
Lange JF, Kaufmann R, Wijsmuller AR et al. An international con-
sensus algorithm for management of chronic postoperative ingui-
nal pain. Hernia 2015;19:33-43.
Bouhassira D, Attal N, Alchaar H et al. Comparison of pain syn-
dromes associated with nervous or somatic lesions and develop-
ment of a new neuropathic pain diagnostic questionnaire (DN4).
Pain 2005;114:29-36.
Alfieri S, Amid PK, Campanelli G et al. International guidelines for
prevention and management of post-operative chronic pain follo-
wing inguinal hernia surgery. Hernia 2011;15:239-49

Poster Authors

Naoual Boudouh

Associate Professor

PAIN LABORATORY FACULTY OF MEDICINE UNIVERSITY OF BATNA 2

Lead Author

E-mail

Nadia Grainat

PAIN LABORATORY OF BATNA 2 UNIVERSITY AND PAIN CENTER OF BATNA

Lead Author

E-mail

Mohamed elhadi Benlaribi

PAIN LABORATORY - CHU- UNIVERSITY OF BATNA 2

Lead Author

E-mail

Lamia Djebara

CHU - UNIVERSITY OF BATNA 2

Lead Author

E-mail

Houssem Ouarhlent

CHU - UNIVERSITY OF BATNA 2

Lead Author

E-mail

Topics

  • Models: Chronic Pain - Neuropathic

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