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. 2022 Aug 18;22(4):686-689.
doi: 10.1515/sjpain-2022-0103. Print 2022 Oct 26.

The Harald Breivik lecture 2022. Pathophysiology in persistent severe pain after groin hernia repair

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Free article

The Harald Breivik lecture 2022. Pathophysiology in persistent severe pain after groin hernia repair

Mads U Werner et al. Scand J Pain. .
Free article

Abstract

The transition from a healthy to a persistent severe pain state following otherwise successful elective surgery is a feared complication. Groin hernia repair, previously considered minor surgery, is a standard surgical procedure annually performed on 2,000 individuals per one million residents. A trajectory into persistent severe pain is, unfortunately, seen in 2-4%, severely impeding physical and psychosocial daily functions.

Keywords: chronic post-surgical pain; groin; hernia repair; reoperation; sensory thresholds.

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References

    1. Aiolfi, A, Cavalli, M, Ferraro, SD, Manfredini, L, Bonitta, G, Bruni, PG, et al.. Treatment of inguinal hernia: systematic review and updated network meta-analysis of randomized controlled trials. Ann Surg 2021;274:954–61. https://doi.org/10.1097/sla.0000000000004735 . - DOI - PubMed
    1. International, GH. Guidelines for groin hernia management. Hernia 2018;22:1–165. https://doi.org/10.1007/s10029-017-1668-x . - DOI - PubMed - PMC
    1. Mikkelsen, T, Werner, MU, Lassen, B, Kehlet, H. Pain and sensory dysfunction 6 to 12 months after inguinal herniotomy. Anesth Analg 2004;99:146–51. https://doi.org/10.1213/01.ane.0000115147.14626.c5 . - DOI - PubMed
    1. Aasvang, EK, Gmaehle, E, Hansen, JB, Gmaehle, B, Forman, JL, Schwarz, J, et al.. Predictive risk factors for persistent postherniotomy pain. Anesthesiology 2010;112:957–69. https://doi.org/10.1097/aln.0b013e3181d31ff8 . - DOI - PubMed
    1. Mücke, M, Cuhls, H, Radbruch, L, Baron, R, Maier, C, Tölle, T, et al.. Quantitative sensory testing (QST). English version. Schmerz . 2021;35:153–60. https://doi.org/10.1007/s00482-015-0093-2 . - DOI - PubMed

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