Triple neurectomía por Inguinodinia crónica posterior a plastia inguinal: Reporte de caso

Abstract

Background: Inguinal hernia is one of general surgeons’ most common surgical conditions. It is a procedure with a low complication rate, which includes chronic pain. Chronic inguinodynia is characterized by the persistence of symptoms for at least three months, and in refractory patients, triple inguinal neurectomy is necessary for pain relief. The scarce reports on this procedure have highlighted the importance of this research work.

Case Report: A 37-year-old female patient with a history of bilateral inguinal hernia was treated with open inguinal repair 12 years ago and laparoscopic repair five years ago for recurrence. She presented with chronic groin pain refractory to pharmacological treatment administered for six months, along with a blockage of the area without improvement; therefore, a triple inguinal neurectomy was performed, relieving the patient's symptoms.

Results: Although an inguinal hernia requires a simple repair, it is not exempt from complications that can limit the patient's quality of life, such as chronic pain. Chronic inguinodynia is the most disabling condition for the patient and goes beyond being a physical ailment, hence the importance of its treatment. This research work aims to demonstrate the efficacy and reliability of triple neurectomy as a treatment for chronic pain in patients with a history of inguinal repair who have opted for conservative pharmacological and minimally invasive treatment without favorable results.