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Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
Outcomes from having laparoscopic hernia repair are: [13] A lower morbidity rate; Low mortality rate; Quarter inch to half an inch incisions that result in three small scars; A laparoscopic hiatal hernia repair results in a hospital stay of approximately 36 to 48 hours after the procedure has been performed [5]
Bladder spasms, painful contractions of the bladder, can cause leakage from the stoma or the urethra [30] and may need to be treated with medication called an antispasmodic. [33] Urinary tract infections: Urinary tract infections can be a concern in people who use catheters due to incomplete emptying or catheter contamination from the hands. [25]
Three primary methods can be utilized: open surgery, laparoscopy, or robotic techniques. Fixing an inguinal hernia using laparoscopy causes less pain, speeds up recovery, and shows similar low rates of the hernia coming back compared to the traditional open repair method. However, open surgery can be done sometimes without general anesthesia.
Common symptoms include pelvic pain, heavy and painful periods, pain with bowel movements, painful urination, pain during sexual intercourse and infertility. [1] [13] Nearly half of those affected have chronic pelvic pain, while 70% feel pain during menstruation. [1] Up to half of affected individuals are infertile. [1]
People undergoing laparoscopic surgery report less incisional pain postoperatively as well as having fewer long-term complications and less disability following the surgery. [33] [34] Additionally, laparoscopic surgery is associated with a lower rate of surgical site infection. [35]
Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2] Sometimes, a laparotomy of laparoscopy is required. [2] Endoscopic ultrasound (EUS) is a minimally invasive alternative method. [3]
Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.