Hernia

, Volume 9, Issue 4, pp 384–387 | Cite as

The femoral nerve in the repair of inguinal hernia: well worth remembering

  • M. A. García-Ureña
  • V. Vega
  • G. Rubio
  • M. A. Velasco
Case Report

Abstract

Injury to the nerves after inguinal hernia surgery is uncommon. The femoral nerve may be damaged by suture or staples, tissue scar entrapment, local anesthesia blockade or direct compression. We present a case of a transient lesion of the femoral nerve after mesh hernioplasty for a re-recurrent inguinal hernia, confirmed by radiological studies, electrophysiology and clinical recovery. The diagnosis, mechanism of injury and surgical approach are reviewed. Surgery to a recurrent hernia may be underestimated. The role of electromyography nerve conducting studies is emphasized insisting on the importance of clinical evolution for the successful management of these infrequent injuries.

Keywords

Inguinal hernia Femoral nerve neuropathy Surgical mesh Electromyography Neural conduction 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • M. A. García-Ureña
    • 1
    • 4
  • V. Vega
    • 2
  • G. Rubio
    • 3
  • M. A. Velasco
    • 2
  1. 1.Department of SurgeryPuerta del Mar University HospitalCádizSpain
  2. 2.Department of SurgeryPuerto Real University HospitalCádizSpain
  3. 3.Department of NeurologyPuerto Real University HospitalCádizSpain
  4. 4.El Puerto de Santa MaríaSpain

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