الفهرس 
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Abstract
We conducted a prospective study in an attempt to define the best management of the ilioinguinal nerve during tension-free inguinal hernioplasty regarding chronic postoperative pain.
Chronic postoperative pain has been defined as pain which persists beyond normal tissue healing assumed to be 3 months. High incidence was reported in literature ranging from 4% up to 63%.
Many theories were postulated in an attempt to understand pathophysiology of chronic post-hernioplasty pain. Many strategies to reduce chronic post-hernioplasty pain have been studied.
The study was carried out on 50 patients presented with inguinal hernia. Patients were randomly divided into 2 similar groups. All patients were subjected to:
• Full history taking including the demographic data, the present complaint and the risk factors,
• Meticulous clinical examination including swelling characters, deep inguinal ring test as well as assessment of other hernia orifices,
• Routine laboratory investigations,
• Hernioplasty: In the first group, classical hernioplasty with preservation of the ilioinguinal nerve was done without excessive dissection of fascia surrounding it. While in the second group, elective resection of ilioinguinal nerve, ligation of proximal ends with implantation of them within the internal oblique muscle fibers was done, otherwise, classical tension-free hernioplasty was done.
• Follow up visits for three months for postoperative pain, hypoesthesia and/or hyperesthesia using a four-categorical scale (absent, mild, moderate or severe) as a visual descriptive scale for assessment of pain and a subjective assessment of hypoesthesia and hyperesthesia.