Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

37. Patient with Groin Pain After
a Plug and Patch Hernia Repair
Christopher G. DuCoin and Garth R. Jacobsen
Postoperative groin pain following hernia repair is common. For
most, the pain is acute and resolves with time; however, some patients
develop chronic inguinal pain, termed inguinodynia. Inguinodynia may
occur after any type of hernia repair. One of the most common inguinal
hernia repair techniques is the plug and patch mesh herniorrhaphy.
Though extremely popular, this procedure has its own set of potential
complications that may lead to inguinodynia.
Chief Complaint
Extreme pain when pressing bump in groin
History
A 60-year-old male presents with a history of a prior open right inguinal
hernia repair with the plug and patch technique 4 years earlier. His
past medical and surgical history is otherwise not significant except for
a history of chronic narcotic use secondary to his inguinal pain. He
reports that he can press on the mass and make it disappear, but the
maneuver is extremely painful, with pain score increasing to 10/10 in
severity. The pain has been present since the operation. It worsens
throughout the day, starting with fairly little pain in the morning and
crescendoing toward the evening. It radiates into his scrotum. Physical
activity makes the pain unbearable. He denies any electrical shock or
burning sensation in the groin or skin.
© Springer International Publishing Switzerland 2016
B.P. Jacob et al. (eds.), The SAGES Manual of Groin Pain,
DOI 10.1007/978-3-319-21587-7_37
463