Patient with groin pain after open inguinal hernia repair with mesh

This is a case report of a 51-year-old male who has undergone multiple right inguinal herniorrhaphies and open inguinal explorations for chronic right inguinodynia. Chronic inguinodynia, generally defined as persistent groin pain 3 months or more after herniorrhaphy, is a known complication after open hernia repair with mesh. Types of pain may be further divided into neuropathic and non-neuropathic pain. The patient discussed in this case report underwent thorough history and physical exam as well as imaging and workup by a pain management specialist. He was felt to have non-neuropathic inguinal pain that is likely related to the mesh as well as a hernia recurrence. He underwent laparoscopic exploration for this problem. Here his presentation, clinical workup, and procedural tips are discussed in detail.