Selective Neurectomy and Mesh Removal for Chronic Postherniotomy Pain
Selective Neurectomy and Mesh Removal for Chronic Postherniotomy Pain
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
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