• K Caliskan, T Z Nursal, E Caliskan, A Parlakgumus, S Yildirim, and T Noyan.
• Department of General Surgery, Başkent University Faculty of Medicine, Ankara, Turkey. ken_caliskan@yahoo.com
• Hernia. 2010 Feb 1; 14 (1): 51-5.

PurposeWe assessed the efficacy of iliohypogastric neurectomy and subcutaneous transposition of the spermatic cord and ilioinguinal and genital nerves on the incidence of postoperative chronic pain (PCP) after open inguinal hernia repair with polypropylene mesh.MethodsBetween October 2006 and November 2006, 54 adult male patients with primary inguinal hernia were randomised into two groups. In group A, we performed Lichtenstein hernia repair, neurectomy and the new procedure; in group B, only Lichtenstein's operation was performed.ResultsOne month after operation, the incidence rate of PCP was significantly lower in group A. At 6 months, there was no significant difference between both groups regarding PCP at rest and coughing. However, there were no patients who complained of PCP after walking and climbing up stairs in group A. The sensorial changes in the groin region were similar in the two groups.ConclusionThis procedure decreases the incidence of physical activity-induced PCP, without increasing the risks of sensory changes.

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