اينگوئينوديني

Inguinodynia

اﯾﻨﮕﻮﺋﯿﻨﻮدﯾﻨﯽ ﯾﺎ ﺳﻨﺪرم درد ﻣﺰﻣﻦ ﭘﺲ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻓﺘﻖ از ﺳﺎلﻫﺎ ﭘﯿﺶ ﺷﻨﺎﺧﺘﻪ ﺷﺪه ﺑﻮد و ﮔﻬﮕﺎه در ﺑﯿﻤﺎران ﭘﺲ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻓﺘـﻖ ﻣﻐﺒﻨﯽ ﯾﺎ اﯾﻨﮕﻮﯾﻨﺎل دﯾﺪه ﻣﯽﺷﺪ و اﻏﻠﺐ ﺑﻪ دردﻫﺎي ﻟﮕﻨﯽ و ﻋﻠﻞ دﯾﮕﺮي ﮐﻪ از ﻗﺒﻞ وﺟﻮد داﺷﺘﻪ ﻧﺴﺒﺖ داده ﻣﯽﺷﺪ. ﭼﻨﺎﻧﭽﻪ اﯾﻦ دردﻫﺎ ﻣﺪاوم و آزاردﻫﻨـﺪه ﺑﻮد اﺣﺘﻤﺎل ﮔﯿﺮاﻓﺘﺎدﮔﯽ ﻋﺼﺐ و ﯾﺎ اﯾﻨﮑﻪ ﻧﻮروﻣﺎ ﭘﺲ از ﻗﻄﻊ ﻋﺼﺐ ﻣﻄﺮح ﻣﯽﺷﺪ و ﻧﯿﺰ ﺳﻌﯽ ﻣﯽﮐـﺮدﻧﺪ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻣﺠـﺪد اﺟﺘﻨﺎب ﺷﻮد. در دو دﻫﻪ اﺧﯿﺮ ﺗﺼﻮر ﻣﯽﺷﻮد ﮐﻪ ﺑﺎ اﺳﺘﻔﺎده ﻫﻤﮕﺎﻧﯽ از ﻣﺶ اﯾﻦ ﻋﺎرﺿﻪ اﻓﺰاﯾﺶ ﭼﺸﻤﮕﯿـﺮي ﯾﺎﻓﺘﻪ اﺳﺖ. ﻟﺬا ﺗﻮﺟﻪ ﻫﻤﮕﺎن ﺑﻪ اﯾﻦ ﺳﻨﺪروم ﻣﻌﻄـﻮف ﺷﺪه اﺳﺖ. ﺗﺤﻘﯿﻘـﺎت وﺳﯿﻌﯽ درﺑﺎره ﺳﻨﺪرم درد ﭘﺲ از ﻋﻤﻞ ﺟﺮاﺣﯽ ﻓﺘﻖ اﻧﺠﺎم ﺷﺪه ﮐﻪ ﭘﯿﺸﮕﯿـﺮي و ﻋﻠﻞ و درﻣﺎن آن را ﻣﻮرد ﺗﻮﺟﻪ ﻗـﺮار ﻣﯽدﻫﺪ. ﻟﺬا ﻫـﺪف اﯾﻦ ﻣﻘـﺎﻟﻪ ﺑﺤﺚ در ﺑﺎره داﻧﺶ ﻓﻌﻠﯽ و ﻣﺮوري ﺑﺮ اﯾﻨﮕـﻮﺋﯿﻨﻮدﯾﻨﯽ و ﭘﺎﺗﻮژﻧﺰ آن و ﻫﻤﭽﻨﯿﻦ ﺗﺸﺨﯿﺺ و ﭘﯿﺸﮕﯿﺮي از آن و ﻧﯿﺰ درﻣﺎنﻫﺎي راﯾﺞ درﺑﺎره ﮐﻨﺘﺮل اﯾﻦ ﺳﻨﺪرم مي باشد

Chronic pain after inguinal herniorrhaphy has been known for many years; and it was thought to be due to musculoskeletal and pelvic problems. an‎d if persistent and annoying the possibility of neuroma or nerve entrapment would be raised, but the surgeons were not enthusiastic to do anything for it other than conservative or palliative treatment. In the past two decades with wide spread use of mesh, this complication has increased to an extent that has drawn attention and research towards it. So the aim of this article is to discuss, its pathogenesis and prevention along with current treatment trends for this syndrome.