Knowledge and Practices Regarding Chronic Pain After Groin Hernia Surgery: A National Resident Survey in Senegal

Chronic pain is a significant complication of groin hernia surgery, affecting patients' quality of life and postoperative recovery. Despite its clinical importance, there is limited research on the knowledge and practice of surgical residents regarding chronic pain management in Senegal. This study aimed to assess the knowledge and practices of surgical residents in Senegal regarding the prevention and management of chronic pain after groin hernia repair.

A national cross-sectional survey was conducted among surgical residents in Senegal between July 1 and 15 July, 2024. The survey collected data on residents' demographic characteristics, knowledge of nerve anatomy relevant to groin hernia surgery, and their opinions on the risk factors and treatment strategies for chronic pain.

A total of 74 residents participated in the survey. There were specializing in general surgery (59.5%) and urology (40.5%). While 89.2% of the respondents recognized chronic pain as a complication of hernia surgery, only 9.5% (n = 7) demonstrated a comprehensive understanding of both the relevant nerve anatomy and the definition of chronic pain. Opinions regarding the role of mesh and laparoscopic surgery in increasing the risk of chronic pain were mixed. Additionally, 47.3% of the participants disagreed that surgery may be required to manage chronic pain, reflecting gaps in training.

This study identified significant knowledge gaps among surgical residents in Senegal regarding the prevention and management of chronic pain after groin hernia surgery. There is a need for enhanced training programs that focus on chronic pain management, including nerve identification and evidence-based treatment strategies, to improve patient outcomes.