Meralgia Paresthetica After Inguinal Hernia Surgery

Some people will still feel numbness even after treatment.

Meralgia paresthetica after inguinal hernia surgery. The syndrome of a dull ache sharp pain burning sensation tingling or numbness in the distribution of the lateral cutaneous nerve of the thigh is known as meralgia paraesthetica. Meralgia paresthetica or meralgia paraesthetica is numbness or pain in the outer thigh not caused by injury to the thigh but by injury to a nerve that extends from the spinal column to the thigh. The lfn arises from the second and third lumbar spinal levels l2 l3. Meralgia paresthetica lateral femoral nerve compressionmeralgia paresthetica is a constellation of symptoms caused by a compression neuropathy pinched nerve of the lateral femoral nerve lfn.

As the lfn travels from the spine to the thigh region the nerve can be pinched at. I had a laparoscopic bilateral inguinal hernia repair surgery 18 days ago and the moment i woke up after the surgery i had a terrible burning pain in my left thigh above the knee i went to a neurologist and was di diagnosed with mp but he says it will go by itself he prescribed lyrica but i still have the shooting. In most cases though you should be able to recover within four to six weeks. Meralgia paraesthetica mp is a rare condition in which the patient experiences a burning sensation along the distribution of the lateral femoral cutaneous nerve of the thigh due to entrapment neuropathy at the lateral end of the inguinal ligament as it exits the pelvis.

Entrapment by staples of the lateral cutaneous nerve of the thigh and femoral branch of the genitofemoral nerve is a documented complication of laparoscopic inguinal. There was insufficient evidence to recommended neurolysis or neurectomy treatment over the other. Meralgia paresthetica surgery options include. Five cases of meralgia paresthetica are reported that resulted from staple entrapment of the lateral femoral cutaneous nerve during laparoscopic herniorrhaphy.

I recently got merlagia parestetica and hope to get your help. This highlights the. Hip replacement iliac crest bone grafting appendectomy inguinal lymph node dissection aortofemoral bypass uterine surgery cesarean section and quadriceps surgery have all been implicated as causative for meralgia paresthetica. An understanding of the preperitoneal inguinal anatomy and precise placement of staples will allow avoidance of this complication.

Meralgia paresthetica mp is a neuropathy resulting from compression of the lateral femoral cutaneous nerve lfcn as it crosses between the anterior superior iliac spine asis and the inguinal ligament while entering the thigh 4 9. Lfcn neuropathy occurring during spinal surgery is frequently related to iliac bone graft harvesting but mp can occur de novo as a transient. Selective l2 nerve stimulation in neurectomy there are risks of denervation pain and leaves an anesthetic area usually a minor nuisance.