A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair
Background: Chronic groin pain is a major cause of post-operative morbidity in open inguinal mesh hernia repair. Neu- rectomy is a well-established treatment modality. This study was performed to evaluate the neurosensory outcomes of prophylactic neurectomy in open mesh hernia repair. Aim: To assess...
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| Format: | Article |
| Language: | English |
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GESDAV
2016-06-01
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| Series: | Archives of Clinical and Experimental Surgery |
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| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=196406 |
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| author | Annappa Kudva Badareesh Lakshminarayana Pavan Kumar Addala Prasad Seetharama |
| author_facet | Annappa Kudva Badareesh Lakshminarayana Pavan Kumar Addala Prasad Seetharama |
| author_sort | Annappa Kudva |
| collection | DOAJ |
| description | Background: Chronic groin pain is a major cause of post-operative morbidity in open inguinal mesh hernia repair. Neu- rectomy is a well-established treatment modality. This study was performed to evaluate the neurosensory outcomes of prophylactic neurectomy in open mesh hernia repair.
Aim: To assess the incidence of inguinodynia in patients undergoing open mesh hernia repair And to study, the neurosen- sory outcomes of sacrificing the ilioinguinal nerve in comparison to the group in which a nerve is identified and preserved. Materials and methods: A prospective double-blinded study was performed at Kasturba Medical College, Manipal from September 2008 to December 2009. The ilioinguinal nerve was either preserved or sacrificed according to the surgeon's choosing. Pain and hyposthesia were studied at defined timed intervals by a single observer.
Results: 105 inguinal hernia mesh repairs were enrolled into the study. Nerve excision was done in 44 patients and pre- served in 61 patients. Ninety patients were followed till six months. At post-operative day 1, all patients in both the groups had pain and 15.2% had numbness. Chronic post surgical inguinodynia was seen in 16.7% of the population in the study group and numbness in 5.6% of the study population at six months.
Conclusion: The severity of pain in the neurectomy group was less than the control group. There were no significant dif- ferences in the neurosensory outcomes of prophylactic ilioinguinal neurectomies in open mesh hernia repair compared to nerve preservation and hence prophylactic neurectomy is presently the choice of most surgeons. [Arch Clin Exp Surg 2016; 5(2.000): 94-99] |
| first_indexed | 2024-04-10T12:45:43Z |
| format | Article |
| id | doaj.art-d7db98b207da4c3a8f4128b4722eb7dc |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T12:45:43Z |
| publishDate | 2016-06-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-d7db98b207da4c3a8f4128b4722eb7dc2023-02-15T16:14:05ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332016-06-0152949910.5455/aces.20150826033718196406A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repairAnnappa Kudva0Badareesh Lakshminarayana1Pavan Kumar Addala2Prasad Seetharama3Professor, Kasturba Medical College, Manipal University, Manipal-576104 Karnataka, India Assistant Professor Department of Surgery Kasturba Medical College Manipal India Post Graduate, Kasturba Medical College, Manipal University, Manipal-576104 Karnataka, India Professor, Kasturba Medical College, Manipal University, Manipal-576104 Karnataka, IndiaBackground: Chronic groin pain is a major cause of post-operative morbidity in open inguinal mesh hernia repair. Neu- rectomy is a well-established treatment modality. This study was performed to evaluate the neurosensory outcomes of prophylactic neurectomy in open mesh hernia repair. Aim: To assess the incidence of inguinodynia in patients undergoing open mesh hernia repair And to study, the neurosen- sory outcomes of sacrificing the ilioinguinal nerve in comparison to the group in which a nerve is identified and preserved. Materials and methods: A prospective double-blinded study was performed at Kasturba Medical College, Manipal from September 2008 to December 2009. The ilioinguinal nerve was either preserved or sacrificed according to the surgeon's choosing. Pain and hyposthesia were studied at defined timed intervals by a single observer. Results: 105 inguinal hernia mesh repairs were enrolled into the study. Nerve excision was done in 44 patients and pre- served in 61 patients. Ninety patients were followed till six months. At post-operative day 1, all patients in both the groups had pain and 15.2% had numbness. Chronic post surgical inguinodynia was seen in 16.7% of the population in the study group and numbness in 5.6% of the study population at six months. Conclusion: The severity of pain in the neurectomy group was less than the control group. There were no significant dif- ferences in the neurosensory outcomes of prophylactic ilioinguinal neurectomies in open mesh hernia repair compared to nerve preservation and hence prophylactic neurectomy is presently the choice of most surgeons. [Arch Clin Exp Surg 2016; 5(2.000): 94-99]http://www.scopemed.org/fulltextpdf.php?mno=196406Neurectomyinguinodynia |
| spellingShingle | Annappa Kudva Badareesh Lakshminarayana Pavan Kumar Addala Prasad Seetharama A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair Archives of Clinical and Experimental Surgery Neurectomy inguinodynia |
| title | A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair |
| title_full | A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair |
| title_fullStr | A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair |
| title_full_unstemmed | A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair |
| title_short | A randomised control study on neurosensory outcomes of ilioingunal neurectomy in Lichtenstein's hernia repair |
| title_sort | randomised control study on neurosensory outcomes of ilioingunal neurectomy in lichtenstein s hernia repair |
| topic | Neurectomy inguinodynia |
| url | http://www.scopemed.org/fulltextpdf.php?mno=196406 |
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