Prophylactic Ilioinguinal Neurectomy During Open Tension-Free Inguinal Hernia Repair

Zagazig University

Status: Completed

Conditions: Pain Prevention; Ilioinguinal Nerve Section; Hernioplasty

Treatments: Procedure: ilioinguinal nerve section

Study type: Interventional

Funder types: Other

Identifiers

NCT06327763

Ilioinguinal Neurectomy

Details and patient eligibility

About

postoperative chronic inguinal pain is a common postoperative complication after open inguinal hernia repair.

Chronic inguinal pain is a common complication following open inguinal hernia repair. Ilioinguinal nerve entrapment is a common cause of this chronic pain which may adversely affect the patients' life. Ilioinguinal neurectomy seems to be beneficial in preventing such pain, but it carries the risk for numbness and hypoesthesia.

Enrollment: 196 patients

Sex: Male

Ages: 16 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• the study included all adult patients operated on for unilateral inguinal hernia by Lichtenstein tension-free mesh hernioplasty with or without ilioinguinal neurectomy.

Exclusion criteria

• patients with recurrent inguinal hernia, bilateral inguinal hernia repair, or huge inguinoscrotal hernia were excluded. Diabetic patients as well as, patients with suspected inguinal hernia recurrence at the time of the questionnaire were excluded.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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196 participants in 2 patient groups

inguinal hernioplasty with ilioinguinal nerve preservation

No Intervention group

inguinal hernioplasty with ilioinguinal nerve section

Experimental group

Treatment:

Procedure: ilioinguinal nerve section