A COMPARATIVE STUDY BETWEEN PRESERVATION OF ILIOINGUINAL NERVE VERSUS ILIOINGUINAL NEURECTOMY DURING LICHTENSTEIN HERNIOPLASTY IN PREVENTING INGUINODYNIA AT MADRAS MEDICAL COLLEGE, RAJIV GANDHI GOVERNMENT GENERAL HOSPITAL, CHENNAI

S. P. Gayathre, M. Senthil Kumar, R. Kannan, S. Karthik

Abstract


Nowadays the recurrence in inguinal hernia repairs have come down. Now the main concern is the inguinodynia with a universally reported rate of 4-8%. Elective neurectomy of ilioinguinal nerve can prevent inguinodynia. Re-exploration for inguinodynia is difficult because of abundant scar. Sensory loss is better tolerated than chronic pain.

Objective: To assess efficacy of elective ilioinguinal neurectomy in reducing incidence of inguinodynia.

Methods: 100 patients who underwent inguinal hernioplasty are split into two equal groups, one control group where the nerves were preserved and the second case group undergoing elective ilioinguinal neurectomy, in Institute of General Surgery, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai from January 2019 to December 2019. Pain was assessed using 4-point in verbal scale during 1st week, at 1month, at 3months, 6months follow up.

Results: There was a significant decrease in pain scores with no significant differences in analgesic usage.

Conclusion: A routine ilioinguinal neurectomy during elective hernioplasty can prevent inguinodynia and the cost needed to alleviate the pain.


Keywords


Inguinodynia, inguinal neurectomy

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