Vol. 3, Issue 12 (2017)
Effect of prophylactic ilioinguinal neurectomy on patients with elective unilateral Lichtenstein hernia repair: A prospective pain study
Author(s): Dr. Madan Mohan Mudgal, Dr. Naveen Kushwah, Dr. Raghvendra Singh, Dr. Manpreet Gill
Abstract: Background: Pain is a prominent issue in inguinal hernia repair research as its persisting appearance is a severe complication. Aims and Objective: To investigate the short to midterm effect of prophylactic ilioinguinal neurectomy on incidence of pain in inguinal region after Lichtenstein repair of inguinal hernia. Materials and Methods: Eighty eight patients undergoing elective unilateral Lichtenstein hernia repair were studied in the Department of General Surgery, Gajra Raja Medical College and Jaya Arogya Group of Hospitals from July 2010 and June 2011 for incidence of chronic groin pain at 1 and 6 months after dividing them in to Group A (n=43) and Group B (n=45). Results: Mean age of patients in Group A and Group B were 55.1±10 and 53.0±10 years respectively. Pain at rest, Pain after coughing 10 time, Pain after walking 10 stairs, Pain after cycling 10 minutes and Numbness was comparable between both the groups at baseline (p>0.05) and first month (p>0.05). At the end of 6th month Pain at rest, Pain after coughing 10 time and Numbness were comparable but significant difference was observed in Pain after walking 10 stairs (p-0.047) and Pain after cycling 10 minutes (p=0.0198) between both the groups. Conclusion: Prophylactic excision of ilioinguinal nerve during Lichtenstein inguinal hernia repair decreases the incidence of exertional chronic groin pain after surgery.