Most Common Nerve Injury In Open Inguinal Hernia Repair

Inguinal hernias occur in about 15 of the adult population and inguinal hernia repair is one of the most commonly performed surgical procedures in the world. It is advisable that beginners catheterize the bladder during the initial part of their learning curve. Bladder injury most commonly occurs during port placement dissecting a large direct sac or in a sliding hernia.

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It is mandatory to empty the bladder prior to an inguinal hernia repair to avoid a trocar injury.

Most common nerve injury in open inguinal hernia repair. Most common nerve injured is a lateral femoral cutaneous nerve 2. 1 department of surgery hca new port richey hospital new port richey florida. This is the nerve most commonly injured during open herniorrhaphy. Inguinal hernia repair is the most common procedure performed in general surgery worldwide with close to 800 000 operations annually in the united states alone bassini introduced the first successful surgical repair for inguinal hernias in 1884 since that time more than 70 types of tissue repair have been described including modifications of the bassini technique such.

Hyperesthesia or paresthesia of upper aspect of thigh and hip. Nerve injury during laparoscopic inguinal hernia repair. If pain starts days after surgery it will recover within 2 to 4 weeks or percutaneous steroid. This report presents a case of injury to the lateral cutaneous nerve of the thigh during laparoscopic inguinal hernia repair.

The most common hernia in both sexes is the indirect inguinal hernia. Injury of lateral cutaneous nerve injury. Approximately 800 000 mesh hernioplasties are performed each year in the united states 2 100 000 in france and 80 000 in the united kingdom. A randomized controlled trial for inguinal hernia.