Nerve‐Identifying Inguinal Hernia Repair: A Surgical Anatomical Study

Wijsmuller, A. R.; Lange, J; Kleinrensink, Gert-Jan; Geldere, D. van; Simons, M. P.; Huygen, F.; Jeekel, J.; Lange, Johan F.

doi:10.1007/s00268-006-0376-y

Cited by 75 publications

(57 citation statements)

References 52 publications

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“…The inguinal canal is crossed by three sensory inguinal nerves: the ilioinguinal, iliohypogastric and genital branch of genitofemoral nerve [38,63].…”

Section: Neuroanatomy In Front Of Trasversalis Fasciamentioning

confidence: 99%

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International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

Alfieri

Amid

Campanelli

et al. 2011

Hernia

Self Cite

356

234

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Purpose To provide uniform terminology and definition of post-herniorrhaphy groin chronic pain. To give guidelines to the scientific community concerning the prevention and the treatment of chronic groin and testicular pain. Methods A group of nine experts in hernia surgery was created in 2007. The group set up six clinical questions and continued to work on the answers, according to evidencebased literature. In 2008, an International Consensus Conference was held in Rome with the working group, with an audience of 200 participants, with a view to reaching a consensus for each question.

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“…The inguinal canal is crossed by three sensory inguinal nerves: the ilioinguinal, iliohypogastric and genital branch of genitofemoral nerve [38,63].…”

Section: Neuroanatomy In Front Of Trasversalis Fasciamentioning

confidence: 99%

“…However, taking anatomical studies into consideration [63], the working group suggests to avoid removing the nerves from their natural bed as much as possible and not to remove the covering fascia (L.E. 5 G.R.D).…”

Section: Hernia (2011) 15:239-249 243mentioning

confidence: 99%

International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery

Alfieri

Amid

Campanelli

et al. 2011

Hernia

Self Cite

356

234

View full text Add to dashboard Cite

show abstract

“…Fundierte Kenntnisse der Nervenanatomie sind zur postoperativen Schmerzvermeidung unverzichtbar [21,22,29]. Die Leistennerven sollten möglichst erhalten bleiben.…”

Section: Nervenmanagementunclassified

Die evidenzbasierte Lichtenstein-Technik

Reinpold¹,

Chen

2017

Chirurg

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Lichtenstein hernioplasty is the number one technique worldwide for open, mesh-based inguinal hernia repair. The principle of Lichtenstein hernioplasty is the tension-free reinforcement of the abdominal wall by covering the transversalis fascia and the oblique muscles with an artificial patch of mesh. The Lichtenstein technique has been modified since its inception. The technique has the benefits of low costs and a rapid learning curve and can be performed with the patient under local anesthesia. The recurrence rates after the Lichtenstein operation are significantly lower compared to open suture repair and equal to laparoendoscopic techniques. Compared to laparoendoscopic techniques the Lichtenstein operation is associated with less severe visceral lesions but more early postoperative and chronic pain; however, the chronic pain rates in long-term follow-up studies are comparable.

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“…[7][8][9] Recent anatomic studies have elaborated the course of GFN, in an aim to remove the myth that identification of GFN is difficult. [10][11][12] The genitofemoral nerve originates from L1/L2 and pierces the iliopsoas muscle where it lies on its ventral surface. Then it divides into genital and femoral branches, proximal to the inguinal ligament.…”

Section: To the Editormentioning

confidence: 99%

“…In an anatomic study, Wijsmuller et al showed that 94% of the genital branch of GFN entered the inguinal canal laterocaudally through the internal ring in the frontal plane. 10 Then, after running through the inguinal canal at the dorsocaudal side of the spermatic cord parallel to the cremasteric artery and vein (blue line), 44% passed dorsally, 28% medially, and 22% laterally to the spermatic cord though the external ring. It is within the canal that the genital branch is at risk during spermatic cord dissection; in addition it may be caught by constriction at the internal inguinal ring or by perineural fibrosis.…”

Section: To the Editormentioning

confidence: 99%