Selective Neurectomy and Mesh Removal for Chronic Postherniotomy Pain

Rigshospitalet, Denmark21 enrolled

Overview

Chronic postherniotomy pain affects every day activities in 5-8% of patients. However, no established treatment for this pain syndrome exists and previous reports on the effect of surgical intervention suffer from methodological problems. The neurophysiological characteristics suggest that pain arises from deeper neuronal structures injured during surgery or by ongoing inflammation from the mesh. This study investigates the effect of removing inserted mesh and compressed nerves on pain related daily impairment of activities assessed by the validated AAS questionnaire before and 6 months after surgery

Study Type

OBSERVATIONAL

Enrollment

Conditions

Pain

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult ( more than 18 years old) patients with chronic pain after groin hernia surgery, and pain related impairment of everyday function. The pain should have occurred after previous open surgery. * The patient should be able to locate to a specific area with maximum pain. Patients should be able to understand and use pain scales, and the AAS-scale. Exclusion Criteria: * All that contradicts the above

Locations (2)

Rigshospitalet

Copenhagen, Denmark

Ambulatory Surgical Clinic, Hørsholm Hospital

Hørsholm, Denmark

Outcomes

Primary Outcomes

changes in AAS scores before and six months after operation

Time frame: 6 months

Secondary Outcomes

changes in sensory function assessed by quantitative sensory testing

Time frame: 6 months

Data from ClinicalTrials.gov

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