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05.02.2018 | Original Article

A Comparative Study Between Prophylactic Ilioinguinal Neurectomy Versus Nerve Preservation in Lichenstein Tension-Free Meshplasty for Inguinal Hernia Repair

Zeitschrift:
Indian Journal of Surgery
Autoren:
Pratik Shah, Abhay Aaudichya, Iliyas Juneja, Bhavesh Vaishnani, Ajay Rajyaguru, Jatin Bhatt
Wichtige Hinweise
As the study was conducted in 2012, we are submitting the same ethical committee letter.

Abstract

Recently, with more attention to patient outcomes, chronic groin pain has replaced recurrence as the primary complication after open inguinal hernia repair. To compare and correlate the therapeutic effectiveness of routine ilioinguinal neurectomy versus nerve preservation with respect to post-operative groin pain, paraesthesia and patient well-being. The present study is a randomised study of 270 cases of inguinal hernias admitted in PDU Government Medical College and Hospital, Rajkot, during the study period of April 2012 to March 2014. The cases for the purpose of the study were selected on the basis of the random sampling method and after taking valid informed consent. For evaluation of chronic inguinal pain at different activities, P value for nerve preservation and neurectomy group was calculated and prophylactic ilioinguinal neurectomy was associated with less pain at varied activities. The incidence of post-operative hypoesthesia was more at 1-month follow-up in the neurectomy group. But, on further follow-up at 3 and 6 months, incidence was equal in each group. Prophylactic excision of ilioinguinal nerve during Lichtenstein open inguinal hernia tension-free meshplasty repair decreases the incidence of chronic groin pain after surgery.

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