Abstract:
:Inguinal hernia repairs are very common yet fairly complex surgical procedures.Variations in the anatomical course of the inguinal nerves require that diligence is taken in their proper recognition. Inadvertent surgical injury to these nerves is associated with long term postoperative pain and complications. The aim of the present study was to highlight the complexity and variation in the innervation of the inguinal region in order to increase proper nerve identification during surgical interventions. Bilateral dissection of the inguinal and posterior abdominal regions in one human male cadaver revealed an atypical anatomic topography of the groin innervation. This unusual case was observed at the Jagiellonian University Anatomy Department during routine cadaveric preparations. The left ilioinguinal nerve was absent. The left genital branch of the genitofemoral nerve arose higher than expected from the lumbar plexus and supplied the groin region, which is typically innervated by the ilioinguinal nerve. Furthermore, the left lateral cutaneous femoral nerve and the right genital branch of the genitofemoral nerve also followed uncharacteristic courses. Awareness of topographical nerve variations during inguinal hernia repair will help surgeons identify and preserve important nerves, thus decreasing the incidence of chronic postoperative pain.
journal_name
Folia Morphol (Warsz)journal_title
Folia morphologicaauthors
Bachul P,Tomaszewski KA,Kmiotek EK,Kratochwil M,Solecki R,Walocha JAdoi
10.5603/fm.2013.0043subject
Has Abstractpub_date
2013-08-01 00:00:00pages
267-70issue
3eissn
0015-5659issn
1644-3284pii
VM/OJS/J/33990journal_volume
72pub_type
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