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Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency
Chronic postsurgical pain (CPSP) is a distressful condition following hernia surgery. A 25-year-old, 55 kg male patient presented with severe pain on the right side of the lower abdomen that radiated to the testicle and the inner side of the thigh. Patient was symptomatic since 5 months following in...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760029/ https://www.ncbi.nlm.nih.gov/pubmed/26955321 http://dx.doi.org/10.4103/1658-354X.169488 |
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author | Thapa, D Ahuja, V Verma, P Das, C |
author_facet | Thapa, D Ahuja, V Verma, P Das, C |
author_sort | Thapa, D |
collection | PubMed |
description | Chronic postsurgical pain (CPSP) is a distressful condition following hernia surgery. A 25-year-old, 55 kg male patient presented with severe pain on the right side of the lower abdomen that radiated to the testicle and the inner side of the thigh. Patient was symptomatic since 5 months following inguinal herniorrhaphy surgery. The pain was not relieved with pharmacological and interventional nerve blocks. An ultrasound-guided ilioinguinal-iliohypogastric (II-IH) block with extended duration (42°C, four cycles of 120 s each) pulsed radiofrequency (PRF) and a diagnostic genital branch of genitofemoral nerve (GGFN) block provided pain relief. After 1-month, an extended duration PRF in GGFN resulted in complete resolution of symptoms. During a regular follow-up of 9 months, patient reported an improved quality-of-life. We believe the successful management of CPSP following hernia repair with single extended duration PRF of II-IH and GGFN has not been described in the literature. |
format | Online Article Text |
id | pubmed-4760029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47600292016-03-07 Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency Thapa, D Ahuja, V Verma, P Das, C Saudi J Anaesth Case Report Chronic postsurgical pain (CPSP) is a distressful condition following hernia surgery. A 25-year-old, 55 kg male patient presented with severe pain on the right side of the lower abdomen that radiated to the testicle and the inner side of the thigh. Patient was symptomatic since 5 months following inguinal herniorrhaphy surgery. The pain was not relieved with pharmacological and interventional nerve blocks. An ultrasound-guided ilioinguinal-iliohypogastric (II-IH) block with extended duration (42°C, four cycles of 120 s each) pulsed radiofrequency (PRF) and a diagnostic genital branch of genitofemoral nerve (GGFN) block provided pain relief. After 1-month, an extended duration PRF in GGFN resulted in complete resolution of symptoms. During a regular follow-up of 9 months, patient reported an improved quality-of-life. We believe the successful management of CPSP following hernia repair with single extended duration PRF of II-IH and GGFN has not been described in the literature. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4760029/ /pubmed/26955321 http://dx.doi.org/10.4103/1658-354X.169488 Text en Copyright: © 2016 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Thapa, D Ahuja, V Verma, P Das, C Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title | Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title_full | Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title_fullStr | Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title_full_unstemmed | Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title_short | Successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
title_sort | successful management of a refractory case of postoperative herniorrhaphy pain with extended duration pulsed radiofrequency |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4760029/ https://www.ncbi.nlm.nih.gov/pubmed/26955321 http://dx.doi.org/10.4103/1658-354X.169488 |
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