Surgical experience of laparoscopic retroperitoneal triple n
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Although pain after inguinal hernia repair is typically attenuated by pain killers and disappears in a time-dependent manner, certain patients have persistent pain even after a considerable amount of time. This phenomenon is referred to as “chronic inguinodynia”, which is a common and serious long-term complication after inguinal hernia repair. Chronic inguinodynia is categorized into 3 types: 1) nociceptive pain, 2) neuropathic pain, and 3) mixed-type pain. Most chronic inguinodynia cases are mild and are cured by conservative treatment, but certain cases are refractory and affect activities of daily living. Given that the therapeutic strategy differs among individuals according to the type of pain, a systematic and thorough preoperative assessment to identify the type of pain is mandatory.This article reports a case of successful treatment of chronic neuropathic inguinodynia by laparoscopic retroperitoneal triple neurectomy...

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