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Nerve management during open hernia repair
British journal of surgery, 2007-01, Vol.94 (1), p.17-22
Wijsmuller, A. R.
van Veen, R. N.
Bosch, J. L.
Lange, J. F. M.
Kleinrensink, G. J.
Jeekel, J.
Lange, J. F.
2007
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Wijsmuller, A. R.
van Veen, R. N.
Bosch, J. L.
Lange, J. F. M.
Kleinrensink, G. J.
Jeekel, J.
Lange, J. F.
Titel
Nerve management during open hernia repair
Ist Teil von
British journal of surgery, 2007-01, Vol.94 (1), p.17-22
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2007
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background: Peroperative identification and subsequent division or preservation of the inguinal nerves during open hernia repair may influence the incidence of chronic postoperative pain. Methods: A systematic literature review was performed to identify studies investigating the influence of different types of nerve management. Results: Based on three randomized studies the pooled mean percentage of patients with chronic pain after identification and division of the ilioinguinal nerve was similar to that after identification and preservation of the ilioinguinal nerve. Two cohort studies suggested that the incidence of chronic pain was significantly lower after identification of all inguinal nerves compared with no identification of any nerve. Another cohort study reported a significant difference in the incidence of chronic pain in favour of identification and facultative pragmatic division of the genital branch of the genitofemoral nerve compared with no identification at all. Conclusion: The nerves should probably be identified during open hernia repair. Division of and preservation of the ilioinguinal nerve show similar results. Copyright © 2007 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Little difference in outcome
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.5651
Titel-ID: cdi_proquest_miscellaneous_68411520
Format
–
Schlagworte
Biological and medical sciences
,
Chronic Disease
,
General aspects
,
Hernia, Inguinal - surgery
,
Humans
,
Inguinal Canal - innervation
,
Inguinal Canal - surgery
,
Medical sciences
,
Pain, Postoperative - prevention & control
,
Randomized Controlled Trials as Topic
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