Inguinal Hernia
Conditions
Keywords
inguinal hernia, chronic pain, neurectomy, hypesthesia
Brief summary
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.
Interventions
PROCEDURELichtenstein hernia repair
Lichtenstein hernia repair with tension free mesh
PROCEDURENeurectomy
Neurectomy
Sponsors
Cantonal Hospital of St. Gallen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Uni- or bilateral inguinal hernia * Karnofsky-index ≥70 * Informed consent
Exclusion criteria
* Recurrent inguinal hernia * Previous inguinal operation * Emergent operation * Severe comorbidities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative pain | up to three years |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of hypesthesia or paraesthesia | one and three years |
| Recurrence rate | one and three years |
| Rate of intra- and postoperative complications | one and three years |
| Quality of life | one and three years |
Countries
Switzerland
Outcome results
None listed