To compare and correlate the therapeutic effectiveness of triple neurectomy versus nerve preservation with respect to Post-operative groin pain

Abstract

Background & Methods: The aim of the study is to compare and correlate the therapeutic effectiveness of triple neurectomy versus nerve preservation with respect to Post-operative groin pain. 30 cases each for the purpose of the study were selected on the basis of the random sampling method and after taking valid informed consent. Polyprolene mesh was used in all cases for hernia repair. Results: Pain at rest was present in 8.3% of the patients in nerve preservation group & 1.7% in neurectomy group after 6 months. Pain at rest was present in 16.6% of the patients in nerve preservation group & 3.3% in neurectomy group after 6 months. Conclusion: In our study, we found that chronic groin pain is a significant and debilitating complication following hernia repair. The incidence of pain as well as the severity of pain is far higher in the nerve preservation study group as opposed to the neurectomy study group. This indicates that prophylactic neurectomy can be an appropriate solution in the prevention of chronic groin pain following inguinal hernia repair and can be considered as an ideal inclusion into the standard hernia repair procedures.