A comparison of open inguinal hernia surgery's elective ilioinguinal neurectomy and nerve preservation to determine the risk of chronic inguinodynia
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 7480-7485
AbstractAmong the procedures that are carried out the most frequently worldwide are inguinal hernia repairs. The contemporary methods used in hernia repair surgery have reduced recurrence rates to tolerable levels. However, a relatively recent complication known as post-operative persistent inguinal discomfort has been observed to be more prevalent than previously believed.
This has been assumed to be the result of the nerve being unintentionally injured during surgery or the nerve becoming entrapped (more frequently) in the postoperative fibrosis around the mesh.
As a result, conventional wisdom advised locating the nerve and keeping it out of the surgical area. However, it has been suggested that if the nerve were found and removed during the procedure, the postoperative Inguinodynia would be decreased. Therefore, an attempt is made to contrast the results of open inguinal hernia surgery vs elective preventive ilioinguinal neurectomy in terms of chronic Inguinodynia.
A time-limited prospective comparative study was conducted on patients who had uncomplicated direct and indirect inguinal hernias between May 2018 and September 2020 at the Dr. D. Y. Patil Medical College and Hospital in Pimpri, Pune, Maharashtra. The study included 60 consecutive cases of inguinal hernia that met the inclusion criteria, which included all male patients with direct and indirect inguinal hernias between the ages of 18 and 70.
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