Pain Following Laparoscopic Inguinal Hernioplastics Using the TAPP Technique

Overview

Introduction:
Postoperative inguinodynia belongs among referred complications of laparoscopic hernioplasty. Its frequency varies from 0.2% to 4.4% according to the literature.

Methods and clinical material:
223 Laparoscopic operations of groin hernias in 201 patients were performed on the surgical department in Chrudim since the 1^st January 2003 to the 31^st December 2004. All patients were treated by TAPP technique.

Results:
All patients with laparoscopic hernioplasty were checked the first day after the laparoscopic procedure, and on the day of dimissal. They were then invited to follow-up examination in the interval of 10–14 months. They filled up the questionnaire. 174 Patients were checked, (i.e. 86%) and 4 of them suffered from inguinodynia which represented 2%.

Discussion:
The authors focus on causes, diagnostic and treatment possibilities of postoperative inguinodynia after laparoscopic groin hernioplasty.

Conclusion:
The possibilities of prevention of postoperative inguinodynia after laparoscopic groin hernioplasty are listed in the conclusion.

Key words:
inguinodynia – laparoscopic groin hernioplasty