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At the present stage, one of the most common surgical diseases is inguinal hernia. The number of herniotomy surgeries in the world does not tend to decrease, but on the contrary, increases. Laparoscopic hernioplasty techniques are actively being introduced, but more than 66.5% of inguinal herniotomy surgeries in the Russian Federation are performed by an open method using mesh implants [1, 2, 3, 4]. The most common method of surgical treatment of oblique inguinal hernias according to Russian and European clinical guidelines is the Lichtenstein operation. Despite a significant decrease in the number of relapses after the introduction of this operation, many authors note a fairly high percentage of chronic pain syndromes associated with trauma to the nerves of the inguinal-femoral zone and implant-associated cicatricial-inflammatory changes. Some studies provide data on the effect of Lichtenstein plastic surgery on the anatomical and functional fitness of the muscular-nervous apparatus of the spermatic cord and on sexual function (authors 1.5 - 1.6 from Chernykh p. 46).
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Sonis et al. (2025) studied this question.
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