Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Inguinal hernia repair is one of the most commonly performed surgical procedures globally, with over 20 million operations carried out annually. Inguinal hernias, characterized by the protrusion of abdominal contents through a weakened area of the lower abdominal wall, affect approximately 27% of men and 3% of women during their lifetime. The primary objective of this study is to estimate the prevalence of inguinodynia in patients undergoing hernioplasty. Inguinodynia, defined as chronic groin pain persisting beyond the normal healing period following hernia repair, remains a significant postoperative complication. This study was designed as a cross‐sectional observational study. The research was conducted in the Department of General Surgery at PES Institute of Medical Sciences and Research (PESIMSR), Kuppam, Andhra Pradesh. The study population included all patients who underwent hernioplasty using mesh (either open Lichtenstein or laparoscopic repair) in the institution and subsequently presented with groin pain persisting beyond three months postoperatively. A minimum sample size of 75 was estimated based on prevalence rates reported in the study by Bruno Garcia Dias, using standard sample size calculation formulas. Out of 75 patients, the majority were in the 31–40 years age group (40%), followed by 41–50 years (17.33%) and 21–30 years (16%). Only a small proportion of patients were aged above 60 years, suggesting that inguinal hernia predominantly affects the middle‐aged populationThe vast majority of cases were primary hernias (90.67%), with recurrent hernias noted in only 9.33% of the cohort. This reflects the predominance of first‐time hernia presentations in routine clinical practice.Open hernioplasty was the most commonly employed technique (42.67%), followed by Transabdominal Preperitoneal Repair (TAPP) in 33.33% and Totally Extraperitoneal Repair (TEP) in 24% of patients. This demonstrates a balanced use of both open and laparoscopic approaches in hernia repair. This study shows that Inguinodynia developed in 12% of patients, and 5.33% experienced neuropathic pain. Although most factors didn’t show statistical significance, recurrent hernias clearly led to more neuropathic pain. Laparoscopic repairs resulted in fewer pain complaints than open procedures.
How to cite this article:
R. Bharathi, K.L. Harish, Channanna Chidamber Rao and Idireddy Vineela. Prevelance of Inguinodynia in Patients Undergoing Hernioplasty in A Tertiary Care Hospital.
DOI: https://doi.org/10.36478/makrjms.2025.12.931.938
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2025.12.931.938