Abstract:
Background:
Chronic inguinal neuralgia is one of the most significant complication
following inguinal hernia repair. Routine ilioinguinal neurectomy has been proposed as a
means to avoid this complication.The purpose of this report is to evaluate the effect of
ilioinguinal neurectomy on chronic groin pain following open mesh hernia repair
compared with ilioinguinal nerve preservation.
Materials And Methods:
In this prospective randomized study 56 patients undergoing open mesh repair
for inguinal hernia are divided into two groups . In Group A , ilio inguinal nerve
preserved and in Group B ilio inguinal nerve excised . Postoperative chronic groin pain
and wound complication are compared between the two groups. The results are finally
analyzed and compared for the two groups using Chi Square test.
Results:
There was reduction in the intensity of groin pain in the ilio inguinal nerve
excised group than the preserved group till 6 month but the there was no significant
difference in groin pain from 6 month and post operative hypoesthesia was more in
nerve excised group and complications like seroma, are comparable in two groups. There
