@article{MAKHILLRJMS2024181231848,
    title = {Prevelance of Inguinodynia in Patients Undergoing Hernioplasty in A Tertiary Care Hospital},
    journal = {Research Journal of Medical Sciences},
    volume = {18},
    number = {12},
    pages = {931-938},
    year = {2024},
    issn = {1815-9346},
    doi = {makrjms.2025.12.931.938},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2025.12.931.938},
    author = {R.,K.L.,Channanna and},
    keywords = {Inguinal hernia, hernioplasty},
    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.}
    }