Ilio Inguinal Hernia

Chronic inguinal neuralgia is one of the most significant complications following inguinal hernia repair.

Ilio inguinal hernia. An inguinal hernia is a protrusion of abdominal cavity contents through the inguinal canal. Blockade of the ii and ih nerves is indicated for analgesia following inguinal hernia repair because the nerves provide sensory innervation to the skin of the lower abdominal wall in addition to the upper hip and upper thigh. Often it gets worse throughout the day and improves when lying down. A ilio hypogastric nerve an anterior branch of the lumbar plexus which gives a lateral branch providing sensory.

Ilioinguinal and iliohypogastric nerve blocks are used to provide analgesia after inguinal hernia repair orchidopexy or hydrocele surgery. Moreover inguinal incisions carried out to repair inguinal hernias are a high risk incision and may injure the ilioinguinal nerve. Inguinal hernia is of two types based on the site of origin of the sac namely indirect and direct. Your doctor is likely to recommend surgery to fix an inguinal hernia that s painful or enlarging.

An inguinal hernia isn t necessarily dangerous. The nerve may also be damaged if it is included in the suture during incision closure causing nerve entrapment. Inguinal hernia repair is a common surgical procedure. The analgesia is comparable to caudal epidural analgesia and it offers the advantage of not affecting micturition after surgery 98 making it ideal for analgesia in children undergoing an outpatient.

Vasculature of importance in and around the groin constitutes the inferior epigastric vessels which differentiate between direct inguinal hernia medial swelling and indirect inguinal hernia lateral swelling. Injury to the nerve can result in pain in the sensory distribution described above. Routine ilioinguinal nerve excision has been proposed as a means to avoid this complication. The purpose of this report is to evaluate the long term outcomes of neuralgia and paresthesia following routine ilioinguinal nerve.

Hernias in the groin constitute the majority of all mainly inguinal hernia. This may include pain or discomfort especially with coughing exercise or bowel movements. A bulging area may occur that becomes larger when bearing down. Because the lateral cutaneous branch of the ih nerve may pierce the internal and external oblique muscles immediately.

The ilioinguinal nerve is a branch of the first lumbar nerve l1. Symptoms are present in about 66 of affected people. An inguinal hernia is a bulging of soft tissue through weakened abdominal muscle walls into the lowest part of the abdomen or the groin. This condition is far more common in men than in women.

It separates from the first lumbar nerve along with the larger iliohypogastric nerve it emerges from the lateral border of the psoas major just inferior to the iliohypogastric and passes obliquely across the quadratus lumborum and iliacus the ilioinguinal nerve then perforates the transversus abdominis near the anterior part.