Abstract
Injury to the ilioinguinal and iliohypogastric nerves after a McBurney’s incision have been reported to cause paralysis of the conjoint tendon that may lead to the development of an indirect inguinal hernia. This study reports on the incidence of ilioinguinal and iliohypogastric nerve sectioning after the performance of a classic McBurney’s incision as well as the distance and relationship of the ilioinguinal and iliohypogastric nerves to the anterior superior iliac spine and a classic McBurney’s incision. The right iliac fossa and lumbar region of 33 cadavers were dissected for the uncovering of the ilioinguinal and iliohypogastric nerves after a correct McBurney’s incision was made. Injury to the ilioinguinal and iliohypogastric nerves was recorded. The mean distance between the ilioinguinal nerve and the incision line was 41.89 mm and 34.63 mm between the iliohypogastric nerve and the incision line. The ilioinguinal and iliohypogastric nerves were found to be 6.69 mm and 12.08 mm from the anterior superior iliac spine, respectively. No ilioinguinal or iliohypogastric nerve was injured during all 33 McBurney’s incisions.
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Arnbjörnsson E (1982) A neuromuscular basis for the development of right inguinal hernia after appendectomy. Am J Surg 143:367–369
Arnbjörnsson E (1982) Development of right inguinal hernia after appendectomy. Am J Surg 143:174–175
Gue S (1972) Development of right inguinal hernia following appendectomy. Br J Surg 59:352–353
Karim OM, Boothroyd AE, Wyllie JM (1990) McBurney’s point-fact or fiction. Ann R Coll Surg Engl 72:304–308
Leech P, Waddell G, Main RG (1972) The incidence of right inguinal hernia following appendectomy. Br J Surg 59:623
Lytle WJ (1970) The deep inguinal ring, development, function and repair. Br J Surg 57:531–536
Malazgirt Z, Ozen N, Ozkan K (1992) Effect of appendectomy on development of right inguinal hernia. Eur J Surg 158:43–44
McBurney CH (1889) Experience with early operative interference in cases of disease of the vermiform appendix. NY Med J 21:676–684
McBurney CH (1894) The incision made in the abdominal wall in cases of appendicitis. Ann Surg 20:38
McMinn RM (1990) Last’s anatomy regional and applied, 8th edn. Churchill-Livingstone, Edinburgh, pp 303–361
Naraynsingh V, Ramdass MJ, Singh J, Singh-Rampaul R, Maharaj D (2002) McBurney’ point: are we missing it? Surg Radiol Anat 24:363–365
Neidhardt JPH (1994) Les muscles de l’abdomen. In: Chevrel JP et al (eds) Anatomie clinique, vol 2. Springer, Berlin Heidelberg New York, pp 116–117
Paturet G (1951) Traité d’anatomie humaine. Masson, Paris
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Jacobs, C.J., Steyn, W.H. & Boon, J.M. Segmental nerve damage during a McBurney’s incision: a cadaveric study. Surg Radiol Anat 26, 66–69 (2004). https://doi.org/10.1007/s00276-003-0189-8
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DOI: https://doi.org/10.1007/s00276-003-0189-8