Radiofrecuencia pulsada para el tratamiento del dolor crónico postherniorrafia inguinal: Reporte de caso

• Autores: María Isabel Castañeda Olano, María Patricia González Obregón, J.A. Tovar Rivas, Roberto Carlo Rivera Díaz
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, ISSN-e 2254-6189, Vol. 21, Nº. 3, 2014, págs. 182-184
• Idioma: español
• DOI: 10.4321/S1134-80462014000300009
• Títulos paralelos:
  • Pulsed radiofrequency for the treatment of chronic pain groin postherniorraphy: Case report
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• Resumen
  • español

    Introducción: El dolor crónico postherniorrafia inguinal es una condición clínica caracterizada por dolor frecuentemente neuropático, incapacitante, de difícil control farmacológico, lo cual ha derivado en la búsqueda de diferentes herramientas de tratamiento. Objetivo: Presentamos el caso de un paciente con diagnóstico de dolor crónico postherniorrafia inguinal, refractario al tratamiento farmacológico, a quien se le realizó una radiofrecuencia pulsada con la cual se logró control del dolor y su reintegro a la vida laboral. Métodos: Se realizó una búsqueda en la base de datos PubMed/Medline, entre los años 2000 y 2013. Resultados: Se revisaron 25 artículos para la descripción del caso. Conclusión: En pacientes con dolor crónico postherniorrafia inguinal, refractarios al tratamiento farmacológico, la radiofrecuencia pulsada aplicada sobre los nervios ilioinguinal, iliohipogástrico y genitofemoral, es una alternativa útil, disponible en nuestro medio y segura con una baja incidencia de efectos adversos o complicaciones.

  • English

    Introduction: Postherniorrhaphy groin chronic pain is a clinical condition characterized by neuropathic pain mainly, disabling, with difficult pharmacological control, which has resulted in the search for different treatment tools. Objective: To present the case of a patient diagnosed with postherniorrhaphy groin chronic pain, resistant to medical therapy, to whom was made ??a pulsed radiofrequency by means of which achieved pain control and their reintegration into working life. Methods: A search was conducted on PubMed/Medline database, between the years 2000-2013. Results: 25 papers were reviewed to describe the case. Conclusion: In patients with postherniorrhaphy groin chronic pain resistant to pharmacological treatment, pulsed radiofrequency applied to the ilioinguinal, iliohypogastric and genitofemoral nerves is an effective alternative, available and safe with a low incidence of adverse effects or complications.

• Referencias bibliográficas
  • Poobalan, AS, Bruce, J, Smith, WC, King, PM, Krukowski, ZH. (2003). A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 19....
  • Massaron, S, Bona, S, Fumagalli, U, Battafarano, F, Elmore, U. (2007). Analysis of post-surgical pain after inguinal hernia repair: A prospective...
  • Nienhuijs, S, Staal, E, Strobbe, L, Rosman, C, Groenewoud, H. (2007). Chronic pain after mesh repair of inguinal hernia: A systematic review....
  • Aasvang, E, Kehlet, H. (2005). Chronic postoperative pain: The case of inguinal herniorrhaphy. Br J Anaesth. 95. 69-76
  • Mikkelsen, T, Werner, MU, Lassen, B, Kehlet, H. (2004). Pain and sensory dysfunction 6 to 12 months after inguinal herniotomy. Anesth Analg....
  • Dennis, R, O'Riordan, D. (2007). Risk factors for chronic pain after inguinal hernia repair. Ann R Coll Surg Engl. 89. 218
  • O'Dwyer, PJ, Alani, A, McConnachie, A. (2005). Groin hernia repair: Postherniorrhaphy pain. World J Surg. 29. 1062
  • Kehlet, H. (2008). Chronic pain after groin hernia repair. Br J Surg. 95. 135
  • Loos, MJ, Roumen, RM, Scheltinga, MR. (2007). Classifying post-herniorrhaphy pain syndromes following elective inguinal hernia repair. World...
  • Ferzli, G, Edwards, E, Al-Khoury, G, Hardin, R. (2008). Postherniorrhaphy groin pain and how to avoid it. Surg Clin N Am. 88. 203
  • Ferzli, GS, Edwards, ED, Khoury, GE. (2007). Chronic pain after inguinal herniorrhaphy. J Am Coll Surg. 205. 333
  • Alfieri, S, Amid, PK, Campanelli, G, Izard, G, Kehlet, H. (2011). International guidelines for prevention and management of post-operative...
  • Rozen, D, Ahn, J. (2006). Pulsed radiofrequency for the treatment of ilioinguinal neuralgia after inguinal herniorrhaphy. Mt Sinai J Med....
  • Amid, PK. (2004). Causes, prevention, and surgical treatment of postherniorrhaphy neuropathic inguinodynia: Triple neurectomy with proximal...
  • Aasvang, E, Kehlet, H. (2005). Surgical management of chronic pain after inguinal hernia repair. Br J Surg. 92. 795
  • Zacest, A, Magill, S, Anderson, V, Burchiel, K. (2010). Long-term outcome following ilioinguinal neurectomy for chronic pain: Clinical article....
  • Kastler, A, Aubry, S, Barbier-Brion, B, Jehl, J, Kastler, B. (2012). Radiofrequency neurolysis in the management of inguinal neuralgia: preliminary...
  • Kastler, A, Aubry, S, Piccand, V, Hadjidekov, G, Tiberghien, F. (2012). Radiofrequency neurolysis versus local nerve infiltration in 42 patients...
  • Fanelli, R, DiSiena, M, Lui, F, Gersin, K. (2003). Cryoanalgesic ablation for the treatment of chronic postherniorrhaphy neuropathic pain....
  • Elias, M. (2000). Spinal cord stimulation for post-herniorrhaphy pain. Neuromodulation. 3. 155
  • Chua, NH, Vissers, KC, Sluijter, ME. (2011). Pulsed radiofrequency treatment in interventional pain management: Mechanisms and potential indications....
  • Bogduk, N. (2006). Pulsed radiofrequency. Pain Med. 7. 396-407
  • Rozen, D, Parvez, U. (2006). Pulsed radiofrequency of lumbar nerve roots for treatment of chronic inguinal herniorraphy pain. Pain Physician....
  • Mitra, R, Zeighami, A, Mackey, S. (2007). Pulsed radiofrequency for the treatment of chronic ilioinguinal neuropathy. Hernia. 11. 369
  • Werner, M, Bischoff, J, Rathmell, J, Kehlet, H. (2012). Pulsed radiofrequency in the treatment of persistent pain after inguinal herniotomy:...