Applied Anatomy of the Genital Branch of the Genitofemoral Nerve in Open Inguinal Herniorrhaphy

Liu, Wan Cherng; Chen, Tien Hua; Shyu, Jia Fwu; Chen, Chien Hsing; Shih, Chung Yu; Wang, Jaang J.; Kung, Sung Pao; Wy, Lui; Wu, Chew Wun; Liu, Jiang Chuan

doi:10.1080/110241502320127748

Cited by 30 publications

(32 citation statements)

References 10 publications

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“…The courses of the ilioinguinal nerve and the GFN are very variable, and this variation should be taken into account in the examination and treatment of chronic groin pain. 1,14,17,19 In conclusion, central motor fibers to the CM motor neurons exist and a representation area for the CM may exist in the motor cortex. The GFN motor conduction time to the CM may have some clinical implications.…”

Section: Discussionmentioning

confidence: 98%

“…Its genital branch follows the psoas muscle and penetrates the internal inguinal ring with the spermatic cord, supplying motor fibers to the CM and sensation to the scrotum and upper thigh. 1,11,14,[17][18][19] The CM is a striated muscle but, for the most part, its voluntary control is not required. 10 Current knowledge of the physiological control of the CM is mainly restricted to the evaluation of the CM reflex.…”

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confidence: 99%

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Central and peripheral motor conduction to cremasteric muscle

et al. 2005

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The few electrophysiologic studies of the cremasteric muscle (CM) have mainly been restricted to the cremaster reflex with no reference to central and peripheral nerve conduction to the muscle, probably for technical reasons.Twenty-six normal adult male volunteers were studied by transcranial magnetic cortical stimulation (TMS) and stimulation of thoracolumbar roots. The genitofemoral nerve (GFN) was stimulated electrically at the anterior superior iliac spine and a needle electrode was inserted into the CM for conduction studies. The motor latency to the CM from the cortical TMS ranged from 20 to 33 ms among the subjects (25.8 +/- 2.9 ms, mean +/- SD). Magnetic stimulation of the lumbar roots produced a motor response of the CM within 9.6 +/- 1.9 ms (range, 6-15). The central motor conduction time to the CM was 16.5 +/- 2.8 ms (range, 10-21). Stimulation of the GFN produced a compound muscle action potential with a mean value of 6.4 +/- 1.8 (range, 4-10) ms in 23 of the 26 cases. Thus, central motor nerve fibers to the CM motor neurons exist, and there may be a representation area for the CM in the cerebral cortex. The GFN motor conduction time to the CM may have clinical utility, such as in the evaluation of the groin pain due to surgical procedures in the lower abdomen.

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Section: Discussionmentioning

confidence: 98%

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confidence: 99%

Central and peripheral motor conduction to cremasteric muscle

et al. 2005

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“…Looking at the literature, only two anatomical studies have investigated the presence and course of the three inguinal nerves together [55,64], while others have investigated the presence and course of only one or two inguinal nerves [8,9,19,27,39,42,47,50,51,53,62].…”

Section: Is It Possible To See All Three Nerves?mentioning

confidence: 99%

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

Alfieri

Amid

Campanelli

et al. 2011

Hernia

363

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 nerves emerge from the lateral border of the psoas major muscle and run subperitoneally in front of quadratus lumborum muscle before piercing the transverse abdominis (TA) muscle above the iliac crest. 75 The IH nerve runs downward and forward and pierces the internal oblique (IO) muscle above the anterior superior iliac spine (ASIS). It then travels between the IO muscle and the EO muscle.…”

Section: Anatomymentioning

confidence: 99%

Ultrasound-Guided Interventional Procedures in Pain Medicine: A Review of Anatomy, Sonoanatomy, and Procedures

Peng

Narouze

2009

Regional Anesthesia and Pain Medicine

160

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Application of ultrasound in pain medicine is a rapidly growing medical field in interventional pain management. Ultrasound provides direct visualization of various soft tissues and real-time needle advancement and avoids exposing both the health care provider and the patient to the risks of radiation. The machine itself is more affordable than a fluoroscope, computed tomography scan, or magnetic resonance imaging machine. In the present review, we discuss the challenges and limitations of ultrasound-guided procedures for pain management, anatomy, and sonoanatomy of selected pain management procedures and the literature on those selected procedures.

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Applied Anatomy of the Genital Branch of the Genitofemoral Nerve in Open Inguinal Herniorrhaphy

Cited by 30 publications

References 10 publications

Central and peripheral motor conduction to cremasteric muscle

Central and peripheral motor conduction to cremasteric muscle

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

Ultrasound-Guided Interventional Procedures in Pain Medicine: A Review of Anatomy, Sonoanatomy, and Procedures

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