Resumen

GAMEZ RICARDO, Juan Carlos; DURAN RODRIGUEZ, Yudennis  y  FIGUEREDO ROJAS, Yaima. Resection of Inguinal Nerves Versus Simple Section to Prevent Postoperative Pain in Hernioplasty with Prosthesis. ccm [online]. 2017, vol.21, n.1, pp. 87-99. ISSN 1560-4381.

Introduction: The incidence of chronic pain in patients undergoing prosthetic hernioplasty is approximately 10%. Considering as chronic inguinodinea the one that lasts three months or more. The best known cause is neuropathic and multiple strategies are proposed for its treatment. Objetive: Compare two techniques of neurectomy to prevent postoperative pain in prosthetic hernioplasty. Method: one hundred seventy five patients, who had underwent inguinal prosthetic hernioplasty between April 2011 and May 2013 were included; to compare two techniques. Resection of 5-10 cm of the nerve was done to 100 patients and to 75 cases simple section or minimal resection (1 cm). Results: in group 1, at two weeks, 61% of the patients reported moderate pain, only one with severe pain. One month later, 14% showed moderate pain, and one with severe pain. One year later only one patient reported moderate pain. In group 2, at two weeks, 62.7% reported moderate pain and nine (12%) reported severe pain. One month, 44% reported moderate pain and 8 (10.7%) continued with severe pain. One year later, eight (10.7%) reflected with constant moderate pain and of these one patient was re-entered for surgical treatment. The low incidence of chronic pain after neurectomy was significant (1% vs. 10.7%, p = 0.012); the incidence of intense pain in the short and medium term, as well as, moderate pain per month was also lower. Conclusion: prophylactic resection of the nerve was more effective than the simple section to avoid postoperative pain.

Palabras clave : hernioplasty; inguinodinea; neurectomy.

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