Abstract

Inguinal neuralgia is one of the important complications of hernia repair which is seldom discussed. It occurs due to entrapment, neuroma or fibrotic reactions involving the ilioinguinal nerve.Hence the excision of ilioinguinal nerve should theoretically eliminate the possibility of inguinal neuralgia.The concept of routine neurectomy in surgery is not unique to inguinal hernia repairs. Routine neurectomy of greater auricular nerves and intercostobrachial nerves is often performed during neck and axillary dissections. But routine ilioinguinal neurectomy is still controversial and is not widely accepted. Hence a study was conducted to evaluate the effect of prophylactic ilioinguinal neurectomy in open inguinal hernia repair Objective: To assess whether elective ilioinguinal neurectomy during inguinal hernioplasty reduces incidence of postoperative inguinodynia and to assess the difference in morbidity and quality of life between, a control group where nerves were preserved and the group undergoing elective ilioinguinal neurectomy Material and Methods: A total of 100 patients with an inguinal hernia and diagnosed clinically getting admitted for mesh hernioplasty in the department of General Surgery, PBMH, KIMS, Bhubaneswar. To describe about the data, descriptive statistics, frequency analysis, percentage analysis were used for categorically variables and the mean and standard deviation were used for continuous variable. To find the significance in categorical data Chi Square test was used. In all the above statistical tools, the probability value < 0.05 was considered as significant. Results: The long-term results of patient underwent neurectomy during the procedure had better outcome regarding inguinodynia compared to patients in whom nerve preservation done. Conclusion: The avoidance of inguinodynia in the post operative period and in the long term in life it is better to prefer neurectomy rather than nerve preservation which is concluded by the study. There is no significant difference occurrence of complications like seroma, infection, recurrence in between the both groups i.e., nerve preservation and neurectomy group.

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