Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.[1][2]
Chronic groin pain is potentially disabling with neuralgia, parasthesia, hypoesthesia, and hyperesthesia. Patients may be unable to work, have limited physical & social activities, sleep disturbances, and psychologic distress. The management of inguinodynia is a difficult problem for many surgeons and 5–7% of patients experiencing post-hernia repair groin pain litigate.[citation needed]