Inguinal Hernia Anatomy Nerves
However learning which muscles are weakened in a hernia and understanding hernia anatomy can help patients understand where hernias are located.
Inguinal hernia anatomy nerves. 7the diagnostic anatomy of the inguinal complex of nerves originating in the lumbar plexus t12 to l4 several peripheral nerves course distally through the inguinal region to provide motor and sensory innervation to the groin and thigh. Hernia anatomy of the muscles arteries veins and nerves of the abdominal wall especially within the groin and inguinal region are some of the most difficult to understand even for doctors. This condition is far more common in men than in women. Laparoscopic inguinal hernia repair is performed more and more nowadays because of its mini invasive nature and demonstrated good results.
Ilioinguinal nerve contributes towards the sensory innervation of the genitalia. Laparoscopic versus open repair. The major indication for repair is to prevent incarceration. Only travels through part of the inguinal canal exiting via the superficial inguinal ring it does not pass through the deep inguinal ring this is the nerve most at risk of damage during an inguinal hernia repair.
Medial to the inferior epigastric artery inguinal hernias are often asymptomatic presenting as a painless swelling in the groin. The lichtenstein tension free hernioplasty is currently one of the most popular techniques for repair of inguinal hernias. Nerve identifying inguinal hernia repair. A surgical anatomical study.
World j surg. Inguinal hernia repair is one of the most commonly performed surgical procedures in the world. The image below depicts the anatomy of the inguinal canal. Wijsmuller ar lange jf kleinrensink gj van geldere d simons mp huygen fj et al.
Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 1 2 the major procedures include intraperitoneal onlay mesh ipom repair transabdominal preperitoneal tapp repair and total extraperitoneal tep repair. An inguinal hernia is an abnormal protrusion of intra abdominal contents either through the deep inguinal ring indirect inguinal hernia. An inguinal hernia is a bulging of soft tissue through weakened abdominal muscle walls into the lowest part of the abdomen or the groin. The aim of this study was to define clinically relevant surgical anatomical zones facilitating efficient identification of the three inguinal nerves during open herniorrhaphy.
Lateral to the inferior epigastric artery or through the weakened posterior wall of the inguinal canal direct inguinal hernia. Symptomatic inguinal hernias require surgical repair. This occurs when the bowel becomes trapped and strangulated in the hernia defect thus stopping blood flow to the bowel segment.