{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:41:45Z","timestamp":1790260905524,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T00:00:00Z","timestamp":1385078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In the literature, chronic groin pain (i.e. lasting &gt;3\u00a0months) occurs in about 10 % of patients who undergo inguinal hernioplasty with prosthesis; it is characterized by a broad range of symptoms, and is relative to individual perceptions of pain. In 2\u20135 % of cases, the painful symptomatology is so intense that it interferes with daily activities, and can be debilitating in 0.5\u20136 % of cases. The best known cause of inguinodynia is neuropathy, due to implication of one or more inguinal nerves (iliohypogastric, ilioinguinal, and genitofemoral nerves) into fibroblastic processes; or from nervous stimulation caused by prosthetic material on adjacent nervous trunks. Many therapeutic strategies have been proposed to treat chronic groin pain, including intra\u2010operative prophylactic neurectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of our study was to perform a comparative analysis between outcomes from wide resections of inguinal nerves versus those from simple nervous section (or minimal resection).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>We considered 350 patients who had undergone inguinal prosthetic hernioplasty with Trabucco\u2019s technique between 2004 and 2010. Wide nervous resection (removal of nerve segments 3\u20138\u00a0cm in length) was performed in 180. The other 170 patients underwent simple section or minimal resection. All patients were checked 1 week, 1\u00a0month, and 1 year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group 1: At 1\u2010week follow\u2010up, 63 patients (35 %) reported no pain, 113 (63 %) reported moderate pain, and 4 (2 %) intense pain; 1\u00a0month after the procedure, 152 patients (84.4 %) reported no pain, 25 (14 %) complained of moderate pain, and 3 (1.6 %) of severe pain; 1 year after surgery, only 1 patient (0.5 %) complained of constant pain. Group 2: At 1 week follow\u2010up, 48 patients (28 %) reported no pain, 101 (59 %) reported moderate pain, and 21 (13 %) intense pain; 1\u00a0month after the procedure, 81 patients (47.6 %) had no pain, 72 (42.4 %) complained of moderate pain, and 17 (10 %) of severe pain; 1 year after surgery, 11 patients (6.5 %) had constant pain, and two of them were re\u2010admitted for surgery. The lower incidence of chronic pain after long nervous resection is statistically significant (0.5 vs. 6.5 %;<jats:italic>p<\/jats:italic>= 0.006); the incidence of moderate pain 1\u00a0month after operation is also lower (14 vs. 42.4 %;<jats:italic>p<\/jats:italic>&lt; 0.0001); patients who underwent a long resection experienced faster resolution of pain symptomatology, during a month. Also noteworthy is the lower incidence of intense pain in the short and medium term (after 1 week, 13 vs. 2 %,<jats:italic>p<\/jats:italic>= 0.0005; after 1\u00a0month, 10 vs. 1.6 %,<jats:italic>p<\/jats:italic>= 0.0018).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prophylactic wide resection of selected segments of inguinal nerves, despite the apparent paradox of greater tissue damage, appears more effective than simple section at preventing postoperative inguinodynia, given both the lower incidence and the faster resolution of painful symptomatology.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2363-4","type":"journal-article","created":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T18:14:47Z","timestamp":1385057687000},"page":"1037-1043","source":"Crossref","is-referenced-by-count":9,"title":["Wide Resection of Inguinal Nerves versus Simple Section to Prevent Postoperative Pain after Prosthetic Inguinal Hernioplasty: Our Experience"],"prefix":"10.1002","volume":"38","author":[{"given":"M.","family":"Zannoni","sequence":"first","affiliation":[{"name":"Department of Surgical Science University of Parma Via Gramsci 14 43126 Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Luzietti","sequence":"additional","affiliation":[{"name":"Department of Surgical Science University of Parma Via Gramsci 14 43126 Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Viani","sequence":"additional","affiliation":[{"name":"Department of Surgical Science University of Parma Via Gramsci 14 43126 Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Nisi","sequence":"additional","affiliation":[{"name":"Department of Surgical Science University of Parma Via Gramsci 14 43126 Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Caramatti","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Biochemical Science University of Parma Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sianesi","sequence":"additional","affiliation":[{"name":"Department of Surgical Science University of Parma Via Gramsci 14 43126 Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,22]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10353-011-0035-x"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v3.i6.73"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010007\u20109121\u20104"},{"issue":"6","key":"e_1_2_9_5_2","first-page":"276","article-title":"Surgical treatment for postherniorrhaphy neuropathic inguinodynia: triple 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