Abstract

Chronic groin pain following Lichtenstein tension-free hernia repair, also known as inguinodynia, poses a significant challenge in surgical management. Despite the success of the Lichtenstein technique in reducing hernia recurrence rates, a subset of patients experience persistent discomfort postoperatively. This review explores alternative approaches for managing inguinodynia after Lichtenstein repair, including pharmacological interventions, physical therapy modalities, and minimally invasive techniques. The efficacy and safety of each approach are evaluated based on available clinical evidence, with emphasis on patient-centered outcomes and quality of life improvements. By considering a range of therapeutic options, clinicians can tailor treatment strategies to address the diverse needs of patients experiencing chronic groin pain following Lichtenstein hernia repair.