Chronic neuropathic pain is a well-recognized complication of inguinal hernia repair. We report a 47-year-old man suffering from chronic neuropathic postherniorrhaphy pain. Planned ilioinguinal and iliohypogastric nerve blocks were not possible because excessive surgical scarring had distorted the sonoanatomy. We therefore performed transversalis fascia plane block with local anesthetic and steroid that resulted in long-term pain relief. This block has been successfully used in the past for providing postoperative analgesia in the L1 dermatome, but its role in chronic pain is unreported.
From the Department of Anesthesia and Pain Medicine, Medica Superspecialty Hospital, Kolkata, West Bengal, India.
Accepted for publication December 19, 2017.
The authors declare no conflicts of interest.
Address correspondence to Jaya Choudhary, MBBS, MD, Department of Anesthesia and Pain Medicine, Medica Superspecialty Hospital, Kolkata, West Bengal, India. Address e-mail to firstname.lastname@example.org.