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The cutaneous nerves encountered during laparoscopic repair of inguinal hernia

The cutaneous nerves encountered during laparoscopic repair of inguinal hernia Background: With an incidence rate of 2%, injury to the nerves of the lumbar plexus is the most common complication of laparoscopic hemioplasty, particularly when the transabdominal preperitoneal (TAPP) technique is used.Methods: The course of the genitofemoral nerve, lateral femoral cutaneous nerve, and ilioinguinal nerve within the operation site was investigated in 53 adult dissecting-room bodies. Their relationship to the deep inguinal ring, iliopubic tract, and anterior superior iliac spine was also examined.Results: Both the femoral and genital branches of the genitofemoral nerve may penetrate the abdominal wall lateral to the deep ring and cranial to the iliopubic tract. The lateral femoral cutaneous nerve and the ilioinguinal nerve may ran immediately lateral to the anterior superior iliac spineConclusion: Contrary to the previously accepted opinion, dissection and the placement of staples either cranial to the iliopubic tract or lateral to the anterior superior iliac spine can result in injury to the nerves. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Surgical Endoscopy Springer Journals

The cutaneous nerves encountered during laparoscopic repair of inguinal hernia

Rosenberger, R. J.; Loeweneck, H.; Meyer, G.
Surgical Endoscopy , Volume 14 (8) – Aug 1, 2000
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References (18)

Publisher
Springer Journals
Copyright
Copyright © Springer-Verlag 2000
Subject
Medicine & Public Health; Surgery; Gynecology; Gastroenterology; Hepatology; Proctology; Abdominal Surgery
ISSN
0930-2794
eISSN
1432-2218
DOI
10.1007/s004640000137
Publisher site
See Article on Publisher Site

Abstract

Background: With an incidence rate of 2%, injury to the nerves of the lumbar plexus is the most common complication of laparoscopic hemioplasty, particularly when the transabdominal preperitoneal (TAPP) technique is used.Methods: The course of the genitofemoral nerve, lateral femoral cutaneous nerve, and ilioinguinal nerve within the operation site was investigated in 53 adult dissecting-room bodies. Their relationship to the deep inguinal ring, iliopubic tract, and anterior superior iliac spine was also examined.Results: Both the femoral and genital branches of the genitofemoral nerve may penetrate the abdominal wall lateral to the deep ring and cranial to the iliopubic tract. The lateral femoral cutaneous nerve and the ilioinguinal nerve may ran immediately lateral to the anterior superior iliac spineConclusion: Contrary to the previously accepted opinion, dissection and the placement of staples either cranial to the iliopubic tract or lateral to the anterior superior iliac spine can result in injury to the nerves.

Journal

Surgical Endoscopy – Springer Journals

Published: Aug 1, 2000

Keywords: Genitofemoral nerve; Hernia; Ilioinguinal nerve; Laparoscopic inguinal hemioplasty; Lateral femoral cutaneous nerve; Nerve injury

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