Incidence and management of inguinodynia after inguinal plasty


  • Juan J. Granados-Romero General Surgery, Hospital General de México “Dr. Eduardo Liceaga", Mexico
  • Jesus C. Ceballos-Villalva Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • Israel García-Olivo Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • Cruz Escobar Jonathan E. Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • María J. Corona-Torres Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • Alba M. Mondragón-Cordero Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • Quintero Arías Lourdes A. Department of Pathology. General Hospital of Mexico “Dr. Eduardo Liceaga", Mexico
  • Ayala García Henry Institute of Higher Studies of Tamaulipas - ANAHUAC Network. (IEST-ANAHUAC), Mexico
  • Vázquez González Juan C. Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico
  • Ericka H. Contreras-Flores Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico



Hernia, Inguinal, Inguinodynia, Lichtenstein, Mesh, Neurectomy


Background: Hernia is defined as a defect of fascial and muscle-aponeurotic structures, allowing the protrusion of elements. The most frequent is inguinal region, prevailing in men 3:1 vs female. The most frequent complications are persistent chronic pain.

Methods: A descriptive, prospective and cross-sectional study was performed in postoperative inguinal plasty patients, using a laparoscopic approach and open approach, the presence or absence of inguinodynia was studied using the visual analogue pain scale (VAS) and the Semmes-Weinstein monofilament, in addition to a systematic investigation in the following PubMed, Medline, Clinical Key and Index Medicus databases, with articles from July 2019 to April 2020.

Results: Inguinodynia was present in laparoscopic surgery and open approach, 58 patients had inguinodynia at two weeks associated with the inflammatory response of the tissues and the presence of a foreign body (mesh), 77% of the patients with persistence of pain at 3 months reported mild pain (VAS 1-4), 21% moderate pain that did not limit their daily activities (VAS 5-8) and 2% of the patients reported severe pain which limited physical activity and effort   (VAS 9-10).

Conclusions: Inguinodynia has an impact on hospital costs and quality life, we consider it is essential to domain the anatomical variants of the region. We propose an extensive follow-up of this group of patients, to make a comparison of diagnostic methods, as well as conservative management vs. modern techniques for pain control.

Author Biographies

Juan J. Granados-Romero, General Surgery, Hospital General de México “Dr. Eduardo Liceaga", Mexico


Jesus C. Ceballos-Villalva, Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico


Vázquez González Juan C., Faculty of Medicine, National Autonomous University of Mexico (UNAM), Mexico

Facultad de Medicina. UNAM


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How to Cite

Granados-Romero, J. J., Ceballos-Villalva, J. C., García-Olivo, I., Jonathan E., C. E., Corona-Torres, M. J., Mondragón-Cordero, A. M., Lourdes A., Q. A., Henry, A. G., Juan C., V. G., & Contreras-Flores, E. H. (2020). Incidence and management of inguinodynia after inguinal plasty. International Journal of Research in Medical Sciences, 8(10), 3432–3438.



Original Research Articles