Chronic inguinal neuralgia is one of the most important complications following inguinal hernia repair. It may even outweigh the benefit of the operation. Intraoperative neurectomy has been investigated to reduce the incidence of chronic pain. This study evaluates the effects of elective division of the ilioinguinal, iliohypogastric and genital branch of the genitofemoral nerves on pain and postoperative sensory symptoms after Lichtenstein hernia repair.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
200
Lichtenstein hernia repair with tension free mesh
Neurectomy
Department of Surgery, Cantonal Hospital of St. Gallen
Sankt Gallen, Canton of St. Gallen, Switzerland
Incidence of postoperative pain
Time frame: up to three years
Incidence of hypesthesia or paraesthesia
Time frame: one and three years
Recurrence rate
Time frame: one and three years
Rate of intra- and postoperative complications
Time frame: one and three years
Quality of life
Time frame: one and three years
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