Browse > Article
http://dx.doi.org/10.3344/kjp.2007.20.2.203

Pulsed Radiofrequency of Lumbar Dorsal Root Ganglia for Treatment of Chronic Inguinal Herniorrhaphy Pain - A case report -  

Kang, Seung Hee (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Han, Hyo Jo (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Kim, Won Young (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Kim, Dae Young (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Moon, Dong Eon (Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea)
Publication Information
The Korean Journal of Pain / v.20, no.2, 2007 , pp. 203-207 More about this Journal
Abstract
Inguinal hernia repair can result in paresthesia and/or pain in the inguinal region. Pharmacological and surgical management often yield inconsistent results associated with considerable risks and side effects. Radiofrequency thermocoagulation (RF) is a neuro-destructive treatment for severe pain, but associated with hypoesthesia, neuritis-like reactions, and occasional neuroma formation. Pulsed radiofrequency (PRF), unlike RF, delivers high intensity currents in pulses, is non-neurodestructive, and therefore less painful, without the potential complications. Here we report on PRF in chronic postoperative inguinal pain. A 23-year-old male who received right inguinal hernia repair and complained of right sided groin pain for approximately 10 years underwent PRF at the L1 and L2 dorsal root ganglia (DRG). He then reported a decrease in pain from 80-90/100 mm to 15-30/100 mm on a visual analogue scale (VAS), which lasted for twelve months.
Keywords
chronic inguinal herniorrhaphy pain; dorsal root ganglion; pulsed radiofrequency;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Cohen SP. Foster A: Pulsed radiofrequcncy as a treatment for groin pain and orchialgia. Urology 2003; 61: 645
2 Ferzli GS. Edwards ED, Khoury GE: Chronic pain after inguinal herniorrhaphy. J Am Coli Surg 2007; 205: 333-41   DOI   ScienceOn
3 Bay-Nielsen M. Perkins FM. Kehler H; Danish Hernia Database: Pain and functional Impairment I year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 2001; 233: 1-7   DOI   ScienceOn
4 Mitra R, Zeighami A, Mackey S: Pulsed radiofrcqueney for the treatment of chronic ilioinguinal neuropathy. Hernia 2007; 11: 369-71   DOI
5 Van Zundcrt J, de Louw AJ, Joosten EA, Kessels AG, Honig W, Dederen PJ, et al: Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology 2005; 102: 125-31   DOI   ScienceOn
6 Bogduk N. Macintosh J, Marsland A: Technical limitations to the efficacy of radiofrcqucncy neurotomy for spinal pain. Neurosurgery 1987; 20: 529-35   DOI
7 Sluijter ME, Cosman ER. Rittman WB, van Kleef M: The effects of pulsed radiofrcquency fields applied to the dorsal root ganglion-a preliminary report. Pain Clinic 1998; 11: 109-17
8 Slappcndel R, Crul BJ, Braak GJ, Geurts JW, Booij LH. Voerman VF, et al: The efficacy of radiofrcqucncy lesioning of the cervical spinal dorsal root ganglion in a double blinded randomized study: no difference between $40^{\circ}C$ and $67^{\circ}C$ treatments. Pain 1997; 73: 159-63   DOI   ScienceOn
9 Courtney CA, Duffy K, Scrpcll MG, O'Dwyer PJ: Outcome of patients with severe chronic pain following repair of groin hernia. Br J Surg 2002; 89: 1310-4   DOI   ScienceOn
10 Cha YD : Pulsed radiofrcquency. Korean J Pain 2004; 17 (Suppl): 74-9   DOI
11 The MRC Laparoscopic Groin Hernia Trial Group: Laparoscopic versus open repair of groin hernia: a randomised comparison. Lancet 1999; 354: 185-90   DOI   ScienceOn
12 Cohen SP, Sired A, Wu CL, Larkin TM, Williams KA. Hurley RW: Pulsed radiofrequency of the dorsal root ganglia is superior to phannacotherapy or pulsed radiofrequcncy of the intercostal nerves in the treatment of chronic postsurgical thoracic pain. Pain Physician 2006; 9: 227-35
13 Bogduk N: Pulsed radiofrcqueney. Pain Med 2006; 7: 396-407   DOI   ScienceOn
14 Cahana A, Van Zundcn J. Macrea L, van Kleef M. Sluijrer M: Pulsed radiofrequency: current clinical and biological literature available. Pain Med 2006; 7: 411-23   DOI   ScienceOn
15 Rozen D, Parvcz U: Pulsed radiofrequency of lumbar nerve roots for treatment of chronic inguinal herniorrhaphy pain. Pain Physician 2006; 9: 153-6
16 Higuchi Y, Nashold BS Jr, Sluijter M. Cosman E, Pearlstein RD: Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal hom lamina I and II neurons. Neurosurgery 2002; 50: 850-5   DOI
17 O'Dwyer PJ. Alani A. McConnachie A: Groin hernia repair: posrbcrniorrhaphy pain. World J Surg 2005; 29: 1062-5   DOI