Nerves Injured In Inguinal Hernia Repair

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

Nerves injured in inguinal hernia repair. Ilioinguinal nerve this nerve may be injured during a laparoscopic inguinal hernia repair only if your surgeon uses tacks and these tacks penetrate through muscle into this nerve. Often the neuralgia will follow the known distribution of the regional nerves including the ilioinguinal iliohypogastric genital branch of the genitofemoral nerve and the lateral femorocutaneous nerves. It is advisable that beginners catheterize the bladder during the initial part of their learning curve. An inguinal hernia is usually treated with surgery.

This report presents a case of injury to the lateral cutaneous nerve of the thigh during laparoscopic inguinal hernia repair. Bladder injury most commonly occurs during port placement dissecting a large direct sac or in a sliding hernia. Following inguinal hernia repair recovery avoid any strenuous activities or workload. Various etiologies are discussed along with a review of the literature.

At present cases of femoral nerve injury following inguinal hernia repair are rarely reported in the literature. Burning or stabbing pain in the inguinal area and anterior thigh was the predominant initial symptom in those cases. 1 department of surgery hca new port richey hospital new port richey florida. Following inguinal hernia repair recovery.

Its injury during a laparoscopic repair is extraordinarily rare. During open hernia repair the ilioinguinal iliohypogastric and the genitofemoral nerves are most commonly injured while the lateral. Femoral nerve injury may occur but is an exceedingly rare event following an open inguinal hernia repair. How is an inguinal hernia treated.

Several cases of femoral nerve injury following inguinal hernia repair have been described 5 6 7. Modern laparoscopic procedures take two to four weeks. There are two main types of inguinal hernia surgery. Open repair takes three weeks to recover.

This manuscript details a patient with a transient sensorimotor paralysis of the femoral nerve following an open inguinal hernia repair. The symptoms of an inguinal hernia include a bulge in the groin area and pain pressure or aching at the bulge especially when lifting bending or coughing. Nerve damage is common. An incision or cut is made in the groin.

There are many recommendations to surgically repair an inguinal hernia and the doctors who make these decisions are doing so based off very good information. Most research has demonstrated that at least 5 30 of. Hernias might also return following surgery and require a second procedure. Nerve injury during laparoscopic inguinal hernia repair.