The effect of Ilioinguinal nerve neurectomy on post operative groin pain in open inguinal hernia repair

Le résumé fourni par la source

Background: A hernia is an abnormal protrusion of an internal organ or portion of an organ through a hole in the wall of the sac that normally contains it. Aim: In order to determine whether open inguinal hernia repair patients have groin pain after the procedure and to what extent, ilioinguinal nerve neurectomy influences this pain. Subjects and methods: From 2023 through 2024, one hundred patients undergoing surgical procedures at Cairo's Al-Zahraa University Hospital, which is affiliated with Al-Azhar University, were the subjects of this prospective comparative observational study. Results: The findings demonstrated that patients who underwent ilioinguinal neurectomy experienced significantly reduced pain scores at both 3 and 6 months postoperatively compared to those in the nerve preservation group. Conclusion: Chronic groin pain after open inguinal hernia repair is far less common when ilioinguinal neurectomy is performed as a preventative measure. As such, it may be safely adopted as a preventive strategy in appropriately selected patients undergoing Lichtenstein mesh hernioplasty. Routine intraoperative identification of the ilioinguinal nerve remains crucial to enable informed decision-making regarding nerve management.

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