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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Surgery For A Hernia. Have Pain, Swelling In The Area Of The Surgery Of The Hernia Repair. Feel Run Down. Suggestions?

I had surgery for a hernia last Nov. Ever since then, I have had pain, swelling in the area of the surgery of the hernia repair. I havs ask, 3 different Dr's to check this, explain why. I think I may have an abscess, all I'm hereing is I need a groin block injection. I disagree. Still have swelling and pain after 9 months, feeling run down. What should I do ne t?
Mon, 22 Jul 2013
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General & Family Physician 's  Response
hi,
thank you for your query.

Chronic pain is the most frequent long-term complication of treating inguinal hernia. Onset of post-hernia repair pain usually occurs immediately after surgery.
There are two predominant types of post-hernia repair pain: nociceptive pain, due predominantly to inflammation, and neuropathic pain, due to nerve injury. The most common type of postoperative pain is nociceptive which occurs due to tissue damage or mesh placement.

the most common treatment for alleviating such pain is the groin block.
Based on pain distribution, the patient is given ultrasonography-guided local anesthetic (lidocaine) injections in the ilioinguinal nerve and lateral femoral cutaneous nerves.
there is considerable pain reduction and mobility is also increased.

the swelling in your groin maybe a seroma or collection of fluid in the groin region.if you have additional pain and fever then it can be an abscess.
i would advise you to get the groin block and then get an aspiration of the fluid done to get a clear picture about the swelling.depending upon that we can start anti-biotics and other tablets.

thank you
wishing yu good health
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Had A Surgery For A Hernia. Have Pain, Swelling In The Area Of The Surgery Of The Hernia Repair. Feel Run Down. Suggestions?

hi, thank you for your query. Chronic pain is the most frequent long-term complication of treating inguinal hernia. Onset of post-hernia repair pain usually occurs immediately after surgery. There are two predominant types of post-hernia repair pain: nociceptive pain, due predominantly to inflammation, and neuropathic pain, due to nerve injury. The most common type of postoperative pain is nociceptive which occurs due to tissue damage or mesh placement. the most common treatment for alleviating such pain is the groin block. Based on pain distribution, the patient is given ultrasonography-guided local anesthetic (lidocaine) injections in the ilioinguinal nerve and lateral femoral cutaneous nerves. there is considerable pain reduction and mobility is also increased. the swelling in your groin maybe a seroma or collection of fluid in the groin region.if you have additional pain and fever then it can be an abscess. i would advise you to get the groin block and then get an aspiration of the fluid done to get a clear picture about the swelling.depending upon that we can start anti-biotics and other tablets. thank you wishing yu good health