2024 Volume 60 Issue 2 Pages 190-194
The patient was a 10-year-old girl, in whom a bulge appeared in the right groin area without pain, and she was diagnosed as having a right inguinal hernia. Then, LPEC surgery was performed for a right inguinal hernia. Postoperative right inguinal pain appeared early after the operation. Five months later, conservative treatment was not effective, and she became unable to attend physical education in school. Thus, we performed a second surgery for her pain five months after the first surgery. The operation was performed laparoscopically, the ligature of the hernia orifice was removed, and we repaired the hernia gate by peritoneum suture avoiding the involvement of the round ligament and surrounding nerves. After the second operation, the pain improved immediately. At one year follow-up, she had no pain or hernia recurrence. It was difficult to identify the cause of the pain, but surgically induced neuropathic pain was suspected. There were only three reports on postoperative inguinal pain after LPEC. We report the effectiveness of our reoperation with some literature review.
