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Management of Chronic Postoperative Inguinal Pain David M. Krpata, MD
A new article by Dr. Krpata of the Cleveland Clinic has appeared. It is a pay-per-view article and I did not purchase it, but the references are shown.
Dr. Krpata’s name has come up in the past. I’ll post a link to a Topic I created about an interview he did on the same subject.
Management of Chronic Postoperative Inguinal Pain
David M. Krpata, MD
Published:May 11, 2023DOI:https://doi.org/10.1016/j.suc.2023.04.003$35.95 –
https://www.surgical.theclinics.com/article/S0039-6109(23)00037-3/fulltext
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2 Replies
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Will give this a good look later…but he talks about risk factors, prevention, patient evaluation, and treatment options (medical and surgical) including medication, physical and psychological therapy, nerve injections, ablation, neurectomy, and mesh removal.
One the ‘key points’ states that 90% of surgery patients see an improvement in their pain, though in the paper he expands on outcomes:
“Fafaj and colleagues reported on the outcomes of surgical intervention for CPIP and found that more than 90% of patients had improvement in their pain and would have mesh removal or neurectomy again. It should be noted that although more than 50% of people will get near resolution of their pain, only 10% achieved complete resolution”.
(The link for that study follows…results are based on a small sample of 29 patients: https://doi.org/10.1016/j.amjsurg.2019.10.020 )
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Here is a link to that previous Topic, with the podcast and transcript. He refers to the paper that I had posted a Topic about recently which has generated some discussion. The Swedish registry study of 22,000 patients. Just coincidence, I found the new paper above just browsing Google Scholar.
https://herniatalk.com/forums/topic/chronic-groin-pain-dr-krpata-cleveland-clinic/
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