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Lloyd M. Nyhus, MD
Chicago, Ill

Arch Surg. 2002;137:104.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Interest in postherniorrhaphy groin pain has escalated in recent years. This discomfort is not postoperative wound pain of short duration, but rather neuralgia that persists for months or even years following various types of operative dissection.

Amid has returned to this subject after 13 years¹ and now urges us to ablate in 1 operation all 3 sensory nerves (ilioinguinal, iliohypogastric, and genital branch of the genitofemoral) from the inguinal anterior approach to ensure that all pathological moieties are removed. This contradicts the position of Starling² who fully agrees with the anterior inguinal approach to the ilioinguinal and iliohypogastric nerves but, because of the difficulty in exposing and dissecting the genital branch anteriorly, prefers the lumbar approach in a second operation, if necessary.

Amid's concern that lumbar incisional hernia may be a contraindication to use of this approach does not concern me. Even during the era of . . . [Full Text of this Article]

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