The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain
Al-Mezaien, M., Maati, T., Hokkam, E., El-Keekey, M. (2010). The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain. EKB Journal Management System, 13(1), 15-21. doi: 10.21608/scumj.2010.70749
Mamdouh Al-Mezaien; Taha Maati; Emad Hokkam; Mohamed El-Keekey. "The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain". EKB Journal Management System, 13, 1, 2010, 15-21. doi: 10.21608/scumj.2010.70749
Al-Mezaien, M., Maati, T., Hokkam, E., El-Keekey, M. (2010). 'The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain', EKB Journal Management System, 13(1), pp. 15-21. doi: 10.21608/scumj.2010.70749
Al-Mezaien, M., Maati, T., Hokkam, E., El-Keekey, M. The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain. EKB Journal Management System, 2010; 13(1): 15-21. doi: 10.21608/scumj.2010.70749

The Effect of Ilioinguinal Neurectomy in Elective Inguinal Hernia Repair on Chronic Posoperative Pain

Suez Canal University Medical Journal
Article 4, Volume 13, Issue 1, March 2010, Page 15-21  XML PDF (3.65 MB)
Document Type: Original Article
DOI: 10.21608/scumj.2010.70749
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Authors
Mamdouh Al-Mezaien1; Taha Maati1; Emad Hokkam1; Mohamed El-Keekey2
1Department of General Surgery, Faculty of Medicine, Suez Canal University
2Port-Foad General Hospital, Port Said
Abstract
Objective: this study was designed to evaluate teh value of ilioinguinal neurectomy in controlling pain after elective inguinal hernia repair. 
Methods: fifty two male patients with unilateral primary inguinal hernia were enrolled in this comparative cross sectional study. They were randomly allocated to one of two groups (study and control). All patients in both groups were subjected to Lichtenstein hernia repair. Patients in teh study group were assigned for intestion ilioinguinal neurectomy while patients in the control group were assigned for ilioinguinal nerve preservation. All patients were assessed for chronic post operative pain and hypothesia. Severity pain scores were assessed using the visual analogue scale (VAS). 
Results: the incidence of chronic pain was found to be significantly less with the study group (7.7% versus 26.9%; p-value <0.05) at 6 months postoperatively. When comparing postoperative severity pain scores in both groups in each time point, we found that the study group showed significantly lower pain scores than the control group starting from the 2nd week postoperatively. Hypothesia was significantly more incident among the study group when assessed the two days and two weeks poetoperatively. 
Conclusion: ilioinguinal neurectomy can result in a significant decrease in chronic postoperative pain, however, postoperative temporary hypothesia is more likely to occur with this procedure. 
Keywords
inguinodynia; nerve entrapment; neuralgia
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