神经切断及网片取出术治疗腹股沟疝无张力修补术后慢性疼痛1例报告

Neurotomy with Mesh Dislodgment for the Chronic Pain after Tension-free Herniorrhaphy of Inguinal Hernia(One Case Report)

目的总结神经切断网片取出术治疗腹股沟疝无张力修补术后慢性疼痛的经验。方法右侧腹股沟疝疝环填充式无张力网片修补术1例,术后出现右腹股沟区慢性疼痛,经保守治疗不能缓解。在连续硬膜外麻醉下行髂腹下、髂腹股沟、生殖股神经生殖支切断及网片取出术。结果随访3个月,病人在术后2个月出现下蹲时手术区疼痛,但无跛行和静息性疼痛。结论腹股沟疝无张力修补术后慢性疼痛在不能确定原因时,行网片取出、神经切断可获得较为满意的效果。

Objective To summarize the clinical experience of the neurotomy with mesh dislodgment for the chronic pain after tension-free herniorrhaphy of inguinal hernia.Method One patient suffered from the chronic pain after tension-free herniorrhaphy was operated by the neurotomy with mesh dislodgment.His clinical data was reviewed retrospectively.Result He was followed up for 3 months and was found no lameness,nor resting pain.Conclusion When the cause of the pain is not certain,the neurotomy with mesh dislodgment is feasible and effective for the chronic pain after tension-free herniorrhaphy.