Nerve cutting in IHR

Hernia Discussion Forums Hernia Discussion Nerve cutting in IHR

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    • #27839
      Alephy
      Participant

      I am wondering, I have read in other posts that in pure tissue repairs sometimes the nerve(s) are cut (to what extent I still do not understand): is this also the case with open mesh repairs?or only some of them? if it is so this would be a strong indication for laparoscopy then….

    • #27844
      DrBrown
      Participant

      @alephy
      The nerves are not routinely cut with pure tissue repair.
      Regards.
      Bill Brown MD

    • #27846
      Alephy
      Participant

      Thanks for your answer! Are there situations when this is warranted or it just cannot be avoided somehow?

    • #27890
      DrBrown
      Participant

      @alephy
      If the nerves are the source of significant pain before the operation, then a neurectomy may provide significant relief.
      If you are having a mesh hernia repair, then some surgeons cut the nerve to prevent the nerve from being scarred to the mesh.
      For pure tissue repair, there is usually no reason to cut the nerve.
      Regards.
      Bill Brown MD

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