Elective Neurectomy During Inguinal Hernia Repair

Cantonal Hospital of St. Gallen

Status and phase: Completed; Phase 2

Conditions: Inguinal Hernia

Treatments: Procedure: Neurectomy; Procedure: Lichtenstein hernia repair

Study type: Interventional

Funder types: Other

Identifiers

NCT00492804

05/015/2B

Details and patient eligibility

About

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.

Enrollment: 200 patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Uni- or bilateral inguinal hernia
• Karnofsky-index ≥70
• Informed consent

Exclusion criteria

• Recurrent inguinal hernia
• Previous inguinal operation
• Emergent operation
• Severe comorbidities

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

Neurectomy

Other group

Treatment:

Procedure: Neurectomy

Procedure: Lichtenstein hernia repair

Nerve preservation

Other group

Treatment:

Procedure: Lichtenstein hernia repair