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Corresponding Author

Mohamed Gamal El-Sayed Shams

Document Type

Original Article

Abstract

Background: Although there are other methods for treating inguinal hernias, Lichtenstein tension-free mesh surgery is the most effective.

Aim: To compare the effect of ilioinguinal neurectomy versus nerve preservation on the incidence and severity of chronic groin pain following hernioplasty for inguinal hernias in males.

Patients and methods: A hundred inguinal hernia individuals who were recruited to have hernioplasty procedures were divided into Group (A) fifty individuals who had their ilioinguinal nerve preserved, and Group (B) fifty patients who had ilioinguinal neurectomy.

Results: Significant differences were observed in the severity of postoperative inguinal pain during mild exercise between groups A and B, particularly at follow-up at 1, 3, and 6 months (p=0.013, 0.033, 0.018), respectively. The mean duration for which patients required analgesia was significantly different in both groups (p<0.001*). NRS during the test and after minor exercise differed significantly (p<0.0001*). Patients who had simple forms of inguinal hernia (direct or incomplete oblique inguinal hernia) experienced less pain score than those patients who had inguinoscrotal hernias during rest as well as after minor exercise at all follow-up periods (p˂0.0001*). There was a significant decrease in postoperative incidence of numbness/hypoesthesia after six months (p<0.001).

Conclusion: After the excision of the ilioinguinal nerve, chronic postoperative pain following the Lichtenstein tension-free hernioplasty was dramatically reduced. In patients receiving Lichtenstein tension-free mesh hernioplasty for inguinal hernias, routine IIN excision was necessary.

Keywords

Surgery; Preservation; Inguinal Hernioplasty; Ilioinguinal Nerve; Elective Division

Subject Area

General Surgery

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