Surgery>>>>>Inguinal Hernias
Question 9#

Nociceptive pain is:

A. The result of ligamentous or muscular trauma and inflammation
B. The result of direct nerve damage or entrapment
C. The result of pain conveyed through afferent autonomic pain fibers
D. Characterized as acute

Correct Answer is A

Comment:

Pain after inguinal hernia repair is classified into acute or chronic manifestations of three mechanisms: nociceptive (somatic), neuropathic, and visceral pain. Nociceptive pain is the most common of the three. Because it is usually a result of ligamentous or muscular trauma and inflammation, nociceptive pain is reproduced with abdominal muscle contraction. Treatment consists of rest, nonsteroidal anti-inflammatory drugs (NSAIDs ), and reassurance, as it resolves spontaneously in most cases. Neuropathic pain occurs as a result of direct nerve damage or entrapment. It may present early or late, and it manifests as a localized, sharp, burning, or tearing sensation. It may respond to pharmacologic therapy and to local steroid or anesthetic injections when indicated. Visceral pain refers to pain conveyed through afferent autonomic pain fibers. It is usually poorly localized and may occur during ejaculation as a result of sympathetic plexus injury.