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- Henrik Kehlet and Eske Kvanner Aasvang.
- Enhed for Kirurgisk Patofysiologi, Rigshospitalet, 2100 København Ø, Denmark. henrik.kehlet@rh.regionh.dk
- Ugeskr. Laeg. 2011 Jan 3;173(1):45-7.
AbstractMultiple mechanisms are responsible for persistent postherniotomy pain, including preoperative pain hypersensitivity, other chronic pain states and intraoperative nerve injury. Currently, the primary preventive techniques are intraoperative nerve identification/sparing in open surgery or use of laparoscopic surgery with non-fixed mesh. The choice between pharmacological intervention and re-exploration is debatable. A centralisation of the Danish patients with regard to evaluation and treatment is proposed.
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