1Associate Professor, Department of Surgery, UP RIMS & R, Saifai, Etawah, Uttar Pradesh
2Medical Officer, Department of Surgery, UP RIMS & R, Saifai, Etawah, Uttar Pradesh
3Assistant Professor, Department of Surgery, UP RIMS & R, Saifai, Etawah, Uttar Pradesh
4Junior Resident, Department of Surgery, UP RIMS & R, Saifai, Etawah, Uttar Pradesh
Inguinal hernia is one of the most common surgery performed. Chronic groin pain is adverse outcome associated with it. Its incidence ranges from 0–63%. Various methods have been described to reduce its incidence like pain killers, antidepressants, injection of local blocks, radiofrequency ablation, neurolysis, neurectomy of nerves. We tried to evaluate the effect of prophylactic ilioinguinal nerve neurectomy in its prevention.
We conducted a prospective randomized control study where ilioinguinal nerve neurectomy was performed in 30 patients (group 1) and no neurectomy in other 30 patients (group 2). A follow up of 6 months was carried out to evaluate the effect of neurectomy on various parameters.
There was moderate to severe pain (VAS ≥ 3) in 1 patient in group 1 and 5 in group 2 (3.3% vs. 16.6%) after 6 month of surgery (p< 0.05). There was no statistical difference in numbness, sexual pleasure, and quality of life.
Prophylactic ilioinguinal nerve neurectomy appears to be a good option in preventing chronic groin pain after open hernia meshplasty without significant side effects.
inguinal hernia, inguinal hernia repair, ilioinguinal nerve neurectomy, complications
