Comparative Study between Prophylactic Ilioinguinal Neurectomy and Nerve Preservation in Lichtenstein Tension-Free Meshplasty for Inguinal Hernia Repair
DOI:
https://doi.org/10.51985/JBUMDC2025813Keywords:
Inguinal hernias, neurectomy, ilioinguinal nerve preservationAbstract
Objective: To compare prophylactic ilioinguinal neurectomy with nerve preservation in lichtenstein tension-free meshplasty
for inguinal hernia repair
Study design and Setting: The present comparative study was carried out at the surgical department in Mayo Hospital
Lahore for a period of 6 months after approval of synopsis.
Methodology: Non-probability consecutive sampling technique was used. The sample size was 60 and was determined
by using the WHO calculated. Patients were divided randomly into 2 groups by using lottery method. In group A, patients
underwent surgery and prophylactic ilioinguinal neurectomy was performed. In group B, patients had done surgery via
conventional method with nerve preservation. Operative time and intra-operative blood loss were noted. Patients were
followed-up in OPD for 1, 3 and 6 months and evaluated for outcomes. Data was entered and analyzed in SPSS -26.
Results: The mean age of the study participants in PINE group was 42.2 ±4.39 and INPE was 41.8±7.45 years. 10% of
the participants in Ilioinguinal Nerve Preservation had pain at rest between the three and six months following surgery but
no individuals experienced pain in the PINE. The incidence of pain from any kind of hernia in either group did not differ
significantly.
Conclusion: The current study concluded that one serious and incapacitating side effect after inguinal hernia repair was
chronic groin pain. The frequency and severity of pain were greater in ilioinguinal nerve preservation group than prophylactic
ilioinguinal neurectomy group.
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Copyright (c) 2026 Muhammad Talha Khan, Noor-ul-Ain Mujahid, Hamza Mustafa, Balakh Sher Zaman, Ali Akbar, Ameer Afzal (Author)
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