COMPARATIVE STUDY OF PRESERVATION OR ELECTIVE oo DIVISION OF ILIO INGUINAL NERVE IN LICHENSTEIN'S MESH REPAIR IN POST OPERATIVE PAIN PERCEPTION

Dr. JEGADHES KUMAR DEVARAJ; Dr. SETHU KANNAN RAMASAMY

Volume : IX, Issue : VI, June - 2020

COMPARATIVE STUDY OF PRESERVATION OR ELECTIVE oo DIVISION OF ILIO INGUINAL NERVE IN LICHENSTEIN'S MESH REPAIR IN POST OPERATIVE PAIN PERCEPTION

Dr. Jegadhes Kumar Devaraj, Dr. Sethu Kannan Ramasamy

Abstract :

Hernia repair oo is one of the most common operations performed by general surgeons. Despite the frequency of this procedure, no surgeon oo has ideal results and complications such as 8postoperative pain oo, nerve injury, infection, and recurrence continue to challenge surgeonsThe ilioinguinal nerve is a sensory nerve that innervates the skin over the groin region, the medial aspect of te thigh, the upper part of the scrotum and the penile root. It is normally encountered during open repair of inguinal hernia. Traditional surgical teaching oo dictates that the nerve should be preserved oo at all times during repair because of the supposed morbidity associated with cutaneous sensory loss and chronic groin pain following nerve injury. However, some reports suggested that elective excision of ilioinguinal nerve causes minimal morbidities and was not considered incapacitating by most patients. oo The aim of this study is to evaluate the role of prophylactic division of ilio inguinal nerve in reducing chronic post operative pain following open hernia repair Lichenstein�s mesh repair The results of this prospective randomized trial demonstrate that prophylactic excision of ilioinguinal nerve during Lichtenstein inguinal hernia repair decreases the incidence of exertional chronic groin pain after surgery. Furthermore, the procedure is not associated with additional morbidities in terms of local cutaneous neurosensory disturbances or deterioration in quality of life. Ilioinguinal neurectomy should be considered as a routine surgical step during open mesh hernia repair