2015
DOI: 10.1007/s10029-015-1396-z
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Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia

Abstract: Nerve injury during inguinal hernia repairs can be avoided by taking the topographic anatomy of the inguinal nerves into consideration. The most advantageous plane to look for the iliohypogastric and ilioinguinal nerve during posterior neurectomy is on the anterior surface of the quadratus lumborum muscle. For the surgical treatment of severe chronic inguinodynia, especially after posterior open or endoscopic mesh repair (TAPP/TEP), the retroperitoneoscopic or open retroperitoneal approach for posterior triple… Show more

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Cited by 98 publications
(76 citation statements)
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References 23 publications
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“…reported that, in 59% of cases, the sartorius muscle had a medial aponeurotic expansion from its tendinous origin to the ASIS, which ensheathes the LFCN, and attached to the inferior border of the inguinal ligament . Minimal dissection referring to the sartorius muscle would be helpful for preventing excessive injury to the connective tissue surrounding the LFCN with scar tissue formation, which may impair normal sensation and the mobility of the thigh …”
Section: Discussionmentioning
confidence: 99%
“…reported that, in 59% of cases, the sartorius muscle had a medial aponeurotic expansion from its tendinous origin to the ASIS, which ensheathes the LFCN, and attached to the inferior border of the inguinal ligament . Minimal dissection referring to the sartorius muscle would be helpful for preventing excessive injury to the connective tissue surrounding the LFCN with scar tissue formation, which may impair normal sensation and the mobility of the thigh …”
Section: Discussionmentioning
confidence: 99%
“…The ilioinguinal nerve was found more caudal and deeper respect to the iliohypogastric [25], and it was never subjected to any distortion. However, the anatomy of these nerves on the abdominal wall is highly variable, especially in their distal portion [25,26].…”
Section: Superficial Nervesmentioning
confidence: 95%
“…Different anatomical patterns have been described [25,26]; it may not split in its terminal branches until distally and in a few cases the two branches are separated from the beginning [26]. The point where GN pierces the psoas muscle ranges from upper third of L3 vertebral body and lower third of L4 vertebral body [9].…”
Section: Genitofemoral Nervementioning
confidence: 99%
“…Fundierte Kenntnisse der Nervenanatomie sind zur postoperativen Schmerzvermeidung unverzichtbar [21,22,29]. Die Leistennerven sollten möglichst erhalten bleiben.…”
Section: Nervenmanagementunclassified