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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neurectomy | Other |
| |
| Nerve preservation | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lichtenstein hernia repair | Procedure | Lichtenstein hernia repair with tension free mesh |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of postoperative pain | up to three years |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of hypesthesia or paraesthesia | one and three years | |
| Recurrence rate | one and three years | |
| Rate of intra- and postoperative complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martin Thurnheer, MD | Department of Surgery, Cantonal Hospital St. Gallen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Surgery, Cantonal Hospital of St. Gallen | Sankt Gallen | Canton of St. Gallen | 9007 | Switzerland |
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| ID | Term |
|---|---|
| D006552 | Hernia, Inguinal |
| D059350 | Chronic Pain |
| D006987 | Hypesthesia |
| ID | Term |
|---|---|
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003714 | Denervation |
| ID | Term |
|---|---|
| D019635 | Neurosurgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Neurectomy | Procedure | Neurectomy |
|
| one and three years |
| Quality of life | one and three years |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D020886 | Somatosensory Disorders |
| D012678 | Sensation Disorders |
| D009422 | Nervous System Diseases |