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Related Experiment Videos

Nerve management during open hernia repair.

A R Wijsmuller1, R N van Veen, J L Bosch

  • 1Department of Surgery, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.

The British Journal of Surgery
|January 6, 2007
PubMed
Summary
This summary is machine-generated.

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Significant factors influencing chronic postoperative inguinal pain: A conditional time-dependent observational cohort study.

International journal of surgery (London, England)·2022

Identifying inguinal nerves during open hernia repair is recommended. Both division and preservation of the ilioinguinal nerve yield similar chronic pain rates, but nerve identification generally lowers pain incidence.

Area of Science:

  • Surgical innovation
  • Pain management
  • Anatomy

Background:

  • Chronic postoperative pain is a significant concern following open hernia repair.
  • The management of inguinal nerves during surgery may impact pain outcomes.

Purpose of the Study:

  • To systematically review the literature on the influence of different inguinal nerve management strategies on chronic pain after open hernia repair.

Main Methods:

  • A systematic literature review was conducted.
  • Included studies investigated the effects of nerve division versus preservation and identification versus no identification of inguinal nerves.

Main Results:

  • Randomized studies showed similar chronic pain rates whether the ilioinguinal nerve was divided or preserved.

Related Experiment Videos

  • Cohort studies indicated significantly lower chronic pain incidence when all inguinal nerves were identified compared to none.
  • One cohort study favored identification and selective division of the genitofemoral nerve's genital branch over no identification.

    • Conclusions:

    • Nerve identification during open hernia repair is likely beneficial.
    • Both division and preservation of the ilioinguinal nerve appear to have comparable outcomes regarding chronic pain.