Summary
The anatomical variations of the genital nerves were studied by dissection of the inguinal canal in 25 post mortem specimens. The aim of this work was to provide data allowing to prevent injury to these nerves in the course of surgical repair of inguinal hernia. The course of the genital branches of the iliohypogastric and ilio-inguinal nerves was consistent with that described in classical anatomical texts in only 12/25 dissections. The genital branch of the genitofemoral nerve displayed the features reported in classical anatomical descriptions in 18/25 dissections.
Résumé
A partir de 25 dissections du canal inguinal, les auteurs étudient les variations anatomiques des nerfs génitaux dans le but de prévenir leurs lésions au cours des cures chirurgicales des hernies de l'aine. Pour les branches génitales des nerfs ilio-hypogastricus et ilio-inguinalis, la disposition modale n'a été retrouvée que 12 fois sur 25 dissections. La branche génitale du nerf génito-femoralis a été retrouvée conforme aux descriptions classiques 18 fois sur 25.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Andrews E (1926) The ilio-hypogastric nerve in relation to herniotomy. Ann Surg 83:79–80
Carpenter MB (1976) Human neuro-anatomy, 7th ed. Williams & Wilkins, Baltimore
Laha RK, Rao S, Pidgeon CN, Dujovny M (1977) Genitofemoral neuralgia. Surg Neurol 8:280–282
Lazorthes G (1955) Le système nerveux périphérique. Description, systématisation, exploration clinique, abord chirurgical. Masson, Paris
Moosman DA, Oelrich TM (1977) Prevention of accidental trauma to the ilio-inguinal nerve during inguinal herniorrhaphy. Am J Surg 133:1946–1948
Paturet G (1964) Traité d'anatomie humaine. Tome IV: Système nerveux. Masson, Paris
Poirier P, Charpy A (1901) Traité d'anatomie humaine. Tome III, 3e fasc: Système nerveux. Masson, Paris
Ponka JL (1980) Hernias of the abdominal wall. WB Saunders, Philadelphia, pp 583–586
Rao T, Kim H, Mathrubhutham M, Lee KN (1977) Meralgia paresthetica. Unusual complication of inguinal herniorrhaphy. JAMA 237:N∘ 23, 2.525
Kopell HP, Thompson AL, Postel AH (1962) Entrapment neuropathy of the ilio-inguinal nerve. N Engl J Med 266:16–19
Rouvière H (1978) Anatomie humaine descriptive et topographique. 11e éd révisée par A Delmas. Tome II: Tronc. Masson, Paris
Testut L (1897) Traité d'anatomie humaine: anatomie descriptive, histologie-développement, 3e éd. Tome II: Névrologieorganes des sens. Doin, Paris
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Salama, J., Sarfati, E. & Chevrel, J.P. The anatomical bases of nerve lesions arising during the reduction of inguinal hernia. Anat. Clin 5, 75–81 (1983). https://doi.org/10.1007/BF01798977
Issue Date:
DOI: https://doi.org/10.1007/BF01798977