Manejo de la inguinodinia crónica posoperatoria en el contexto de la pandemia por COVID-19

Durán MF, Galindo Perez R, Díaz García I (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Revista Hispanoamericana de Hernia Sociedad Hispanoamericana de Hernia

Book Volume: 12

Pages Range: 142-145

Journal Issue: 3

DOI: 10.20960/rhh.00545

Abstract

Introduction: Chronic postoperative inguinal pain is a complication of inguinal hernia repair that occurs in 10 % to 12 % of cases; most of them require a reoperation. During the COVID-19 pandemic, many countries restricted elective surgical procedures to prioritize emergencies. We present a case of chronic postoperative inguinal pain where non-operative strategies were used for its treatment, while surgical activities were reactivated due to hospital conversion. Case report: A 57-year-old male with obesity and comorbidities, with intense postoperative right inguinal pain of 14 months of evolution. No recurrence were observed on physical and ultrasonographic examination. Dermatome mapping (DMT) was performed, appreciating hyperalgesia along the path of the right ilioinguinal nerve. Since at that time the hospital operating room was disabled during the COVID-19 pandemic, the patient was administered an intravenous solution of ketamine (0.1 mg/kg) plus dexamethasone (8 mg), diazepam (10 mg) and metamizole (1 g) during four outpatient sessions, with an interval of 15 days between each session; and oral pregabalin (75 mg daily) for 50 days, presenting complete remission of pain at the end of treatment. Two months later, the patient reported a recurrence of pain, so when the operating room was rehabilitated, surgical exploration and meshoma removal were performed, with pain relief. Discussion: The use of ketamine may be useful to treat CPIP, when elective surgeries must be postponed, such as during the COVID-19 pandemic, but relapse seems to be the norm and surgery the definitive option. Mesh removal seems to have a positive effect on CPIP improvement after inguinal hernioplasty.

Authors with CRIS profile

Roberto Galindo Perez Lehrstuhl für Sportwissenschaft mit dem Schwerpunkt Bewegung und Gesundheit

Involved external institutions

Secretariat of National Defense Mexico / Secretaría de la Defensa Nacional MX Mexico (MX)

How to cite

APA:

Durán, M.F., Galindo Perez, R., & Díaz García, I. (2024). Manejo de la inguinodinia crónica posoperatoria en el contexto de la pandemia por COVID-19. Revista Hispanoamericana de Hernia, 12(3), 142-145. https://doi.org/10.20960/rhh.00545

MLA:

Durán, Martín Fuentes, Roberto Galindo Perez, and Ivett Díaz García. "Manejo de la inguinodinia crónica posoperatoria en el contexto de la pandemia por COVID-19." Revista Hispanoamericana de Hernia 12.3 (2024): 142-145.

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