Abstract

Ilioinguinal Neurectomy and Chronic Post-Operative Pain After Inguinal Hernia Repair

Highlights

  • IntroductionRepair of inguinal hernia is the second most commonly performed general surgery procedure [1,2,3,4]

  • Ileoinguinal hernia is the most common male disease worldwide [1]

  • This study aims to determine the effect of preservation /division of ilioinguinal nerve in patients undergoing lichenstein hernioraphy on severity of chronic post operative pain as well well as presence /absence of groin numbness

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Summary

Introduction

Repair of inguinal hernia is the second most commonly performed general surgery procedure [1,2,3,4]. The most annoying complication is chronic post-operative pain causes include trauma during dissection to ilioinguinal nerve passing through the surgical field, fibrosis and inflammation induced by the prosthetic mesh in close proximity to ilioinguinal nerve, strangulation of the nerve caught by suturing etc. Chronic post-operative pain has been reported in 19% to 69% cases of inguinal hernia repair. Severe groin pain has been reported in 3% cases [1,2,3]. Chronic pain has been reported as the pain that lasts longer than the usual healing time of six weeks. Various time scales have been suggested, usually 3 or 6 months [1]

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