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Elective Neurectomy During Inguinal Hernia Repair

Phase 2
Completed
Conditions
Inguinal Hernia
Interventions
Procedure: Lichtenstein hernia repair
Procedure: Neurectomy
Registration Number
NCT00492804
Lead Sponsor
Cantonal Hospital of St. Gallen
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
200
Inclusion Criteria
  • Uni- or bilateral inguinal hernia
  • Karnofsky-index ≥70
  • Informed consent
Exclusion Criteria
  • Recurrent inguinal hernia
  • Previous inguinal operation
  • Emergent operation
  • Severe comorbidities

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
NeurectomyLichtenstein hernia repair-
NeurectomyNeurectomy-
Nerve preservationLichtenstein hernia repair-
Primary Outcome Measures
NameTimeMethod
Incidence of postoperative painup to three years
Secondary Outcome Measures
NameTimeMethod
Incidence of hypesthesia or paraesthesiaone and three years
Recurrence rateone and three years
Rate of intra- and postoperative complicationsone and three years
Quality of lifeone and three years

Trial Locations

Locations (1)

Department of Surgery, Cantonal Hospital of St. Gallen

🇨🇭

St. Gallen, SG, Switzerland

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