Anatomic variability of groin innervation

Bachul, Piotr J.; Tomaszewski, Krzysztof A.; Kmiotek, Elizabeth; Kratochwil, M.; Solecki, Rafał; Walocha, Jerzy

doi:10.5603/fm.2013.0043

Cited by 18 publications

(16 citation statements)

References 10 publications

(20 reference statements)

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“…13,14 Studies have shown that failure to demonstrate the nerves during the hernia repair is associated with postoperative groin pain which reported in the range of 6-30% in the literature. [13][14][15] Five of our patients had variations in the course of inguinal nerves.…”

Section: Discussionmentioning

confidence: 87%

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Anatomical variations of the inguinal morphometric features in patients with inguinal hernia and its association with the type of inguinal hernia: a prospective clinical study

et al. 2019

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Background: Variations of inguinal canal and inguinal nerves are not uncommon. Knowledge about those variations is important to avoid inadvertent injury to the vital structures and to prevent recurrence.Methods: This prospective clinical study included all patients undergoing open inguinal hernia repair. Laparoscopic hernia repair, emergency surgery for complication and recurrent inguinal hernia were excluded. Parameters studied include interspinous distance, length and obliquity of inguinal ligament, attachment of conjoint tendon, condition of transversalis fascia and position and variations of ilioinguinal nerve.Results: The study included 192 patients. The mean interspinous distance (ISD) was 22±3.45 cm (CI: 30-32). ISD was not significant different among the two types of hernia. The mean length of internal oblique on inguinal ligament from anterior superior iliac spine was significantly longer in patients with indirect inguinal hernia (4±0.791 vs. 4.27±1.34; p=0.000). Significant patients in the direct hernia had weak transversalis fascia ((95% vs. 43%). 80% of the patients with direct hernia had defect in the transversalis fascia compared to only 8.8% in the indirect hernia. The difference is statistically significant. The nerve variation was present in only 1.3% in direct hernia group compared to 3.5% in the indirect hernia group.Conclusions: It was observed that the type of hernia did not significantly influenced by the length of inguinal ligament, the mean distance of midinguinal point, obliquity of the inguinal ligament. The nerve variation was present in only 1.3% in direct hernia group compared to 3.5% in the indirect hernia group.

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Section: Discussionmentioning

confidence: 87%

“…13 Bachul et al demonstrated an absent ilioinguinal nerve along with an atypical course of genital branch of genitofemoral nerve. 15 These variations should be kept in mind when hernia repair being carried out to avoid the postoperative paresthesia and chronic groin pain.…”

Section: Discussionmentioning

confidence: 99%

Anatomical variations of the inguinal morphometric features in patients with inguinal hernia and its association with the type of inguinal hernia: a prospective clinical study

et al. 2019

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“…teres uteri, das durch den Leistenkanal verläuft. Nerven, die im Leistenkanal verlaufen, sind der N. ilioinguinalis und der R. genitalis des N. genitofemoralis, wobei die Verläufe vielfach eine anatomische Lagevariabilität haben [12,13]. Diese Nerven sind ausschließlich für die oberflächliche Hautsensitivität in der Leistenregion zuständig.…”

Section: Anatomie Des Leistenkanalsunclassified

Sportlerleiste

Muschaweck¹,

Gollwitzer

Conze³

2015

Orthopäde

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“…The motor fibers of the ilioinguinal nerve have also been seen intermingling with the genital branch of the GFN that innervate the cremasteric muscles in some studies (Moosman and Oelrich, 1978; Rab et al, ; Liu et al, ). Finally, asymmetry of the inguinal nerve distributions was noted in many cadaveric studies (Akita et al, ; Rab et al, ; Liu et al, ; Bachul et al, ), thus contributing to the variability of the inguinal region.…”

Section: Introductionmentioning

confidence: 97%

“…However, studies have shown some anatomical variability in the course the genital branch of the GFN and its relationship to the ilioinguinal nerve in this region (Moosman and Oelrich, ; Lichtenstein et al, ; Akita et al, ; Rab et al, ; Liu et al, ; Bachul et al, ). Rab et al () suggested a classification system to define the distribution patterns of the genital branch of the GFN and ilioinguinal nerve into four types.…”

Section: Introductionmentioning

confidence: 99%

Genitofemoral neuralgia: A review

Cesmebasi

Yadav

Gielecki³

et al. 2014

Clinical Anatomy

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Genitofemoral neuralgia is a cause of neuropathic pain that is often debilitating in nature. It is characterized by chronic neuropathic groin pain that is localized along the distribution of the genitofemoral nerve. The symptoms include groin pain, paresthesias, and burning sensation spreading from the lower abdomen to the medial aspect of the thigh. It may present with scrotal pain in male, while females experience symptoms radiating to the labia majora and mons pubis. Genitofemoral neuropathy has been attributed to iatrogenic nerve injury occurring during inguinal and femoral herniorrhaphy, with cases developing after both open and laparoscopic techniques. Diagnosis of genitofemoral neuralgia can be challenging, due to the overlap in sensory distribution the nerve shares with the ilioinguinal and iliohypogastric nerve. Differential nerve blocks are recommended in effort to differentiate the nerves when patients present with lower abdominal and groin pain. Once a diagnosis has been made, there exist several treatment options for genitofemoral neuralgia ranging from medical management, non-invasive injections, and surgery. Literature has also brought light to radiofrequency ablation and cryoablation performed under ultrasound guidance as emerging treatments. The aim of the current article is to review the anatomy, diagnostic techniques, and treatment options for patients with genitofemoral neuralgia.

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Anatomic variability of groin innervation

Abstract: (Folia Morphol 2013; 72, 3: 267-270)

Cited by 18 publications

References 10 publications

Anatomical variations of the inguinal morphometric features in patients with inguinal hernia and its association with the type of inguinal hernia: a prospective clinical study

Anatomical variations of the inguinal morphometric features in patients with inguinal hernia and its association with the type of inguinal hernia: a prospective clinical study

Sportlerleiste

Genitofemoral neuralgia: A review

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