A comparative study of inguinodynia following lichtenstein hernioplasty with or without elective neurectomy of ilioingui
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C L L I N I C A L R E S E A R C H S T U DY
A Comparative Study of Inguinodynia Following Lichtenstein Hernioplasty With or Without Elective Neurectomy of Ilioinguinal Nerve Chatterjee Shamita, Kumar Rohit
Abstract Introduction: A comparative study was carried out to study the incidence of inguinodynia following Lichtenstein
hernioplasty with or without elective neurectomy of ilioinguinal nerve. Methods: Fifty-six patients who underwent inguinal hernioplasty were studied. The patients were randomly allocated
into two groups: 28 underwent elective ilioinguinal nerve resection and the other 28 had careful nerve preservation. Pain was assessed postoperatively at day 1, 7, 30, 60, 90, and 180 according to a 4-point scale i.e. none (A), mild (B), moderate (C), severe (D). The duration of hospital stay, resumption of normal daily activity and number of days off work were compared between the nerve resection (Case) and nerve preservation (Control) groups. Results: Follow-up on the first postoperative day revealed no significant difference in pain score between the two groups (P value > 0.05). Follow-up on postoperative days 7, 30, 90 and 180 revealed a significant difference in pain score between the two groups (P0.05). Resumption of normal daily activity for the nerve resection group was (2.8+/-0.9) and for the nerve preservation group it was (3.7+/-0.8) days (P
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