HERNIA INSTITUTE OF PENNSYLVANIA
PATIENT INFORMATION
SURGERY for CHRONIC POST OPERATIVE PAIN SYNDROME
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Many patients are referred to the North Penn Hernia Institute with chronic and/or severe pain after hernia surgery, a condition we call "Post Herniorrhaphy Pain Syndrome". Approximately 3-5% of all surgery patients develop some degree of chronic or persistent pain in the region of any surgical incision, and this can be especially bothersome after Hernia repair. Post-operative pain after hernia surgery can occur from a variety of causes and often only with the examination by a surgeon or HERNIA SPECIALIST can identify the exact cause. There are many causes for persistent pain including (but not limited to):

The exact cause of any individual patient's pain cannot be determined of course, nor can specific treatment be recommended without an examination. Many Patients are referred to us from other surgeons and pain management physicians with persistent post operative pain following hernia surgery. We often recommend conservative measures, especially in cases where the pain is not to severe. These treatment methods include:
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Often in cases where the above treatment options have been unsuccessfully utilized, and only in severe, debilitating or persistent cases of pain, lasting more than 1 year, repeat operation is offered in hopes of improving the status of the patients. We attempt to identify the cause at surgery, and correct the problem based on the findings. At this time we also reconstruct the inguinal canal to our specifications for post operative hernia repair. But no accurate diagnosis can be made without an examination and/or surgical re-exploration.

To be considered for surgery at NPHI for severe and/or debilitating chronic Post-Herniorrhaphy Pain Syndrome, patients must: Repeat surgery, regardless of the cause of the pain or its intensity, is not always completely successful in alleviating the pain entirely. Reasonable expectations achieved by such repeat operation in patients referred to us with severe or debilitating post-operative "POST-HERNIORRHAPHY PAIN SYNDROME" are as follows:
The recovery period after this operation is longer than that following a routine hernia reapir, and may require 4-6 weeks of recuperation or longer.



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In some cases, while the pain may or may not have been relieved, an area of numbness or loss of sensation of the skin, both in the region of the surgery, and potentially extending towards the genitalia and towards the leg, may occur after such repeat surgery for post operative pain. This numbness may be permanent or temporary, mild or profound.

I have read the above full statement carefully and understand fully the nature of my problem, and implications, expectations and risks of surgery. I have been given full opportunity to ask questions and they have been answered to my satisfaction.

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