Ilioinguinal/Iliohypogastric Neuropathy

  • R. Graham Vanderlinden
  • Rajiv Midha
  • Loren Vanderlinden


Persistent pain following inguinal hernia repairs is a significant problem. Marsden reported a series of 939 inguinal hernia repairs in which 2.8% of patients still suffered significant wound pain at 1 year and 1.4% were substantially disabled at 3 years. Entrapment of the ilioinguinal or the iliohypogastric nerves may be caused by suture placement, tendinous bands, fibrous adhesions, or neuroma formation.


Inguinal Hernia Inguinal Hernia Repair Anterior Superior Iliac Spine Proximal Stump Ilioinguinal Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Marsden AJ. Ilioinguinal hernia: a three-year review of two thousand cases. Br J Surg. 1962; 49:384–394.PubMedCrossRefGoogle Scholar
  2. 2.
    Osler W. Modern medicine. Philadelphia: Lea & Febiger; 1910: 768–786.Google Scholar
  3. 3.
    Magee RK. Genitofemoral causalgia (a new syndrome). Can Med Assoc J. 1942; 46:326–329.PubMedGoogle Scholar
  4. 4.
    Lyon EK. Genitofemoral causalgia. Can Med Assoc J. 1945; 53:213.PubMedGoogle Scholar
  5. 5.
    Hameroff SR, Carlson GL, Brown BR. Ilioinguinal pain syndrome. Pain. 1981; 10:253–257.PubMedCrossRefGoogle Scholar
  6. 6.
    Harms BA, DeHaas DR Jr, Starling JR. Diagnosis and management of genitofemoral neuralgia. Arch Surg. 1984; 119:339–341.PubMedCrossRefGoogle Scholar
  7. 7.
    Purves JK, Miller JD. Inguinal neuralgia: a review of 50 patients. Can J Surg. 1986; 29:43–45.PubMedGoogle Scholar
  8. 8.
    Starling JR, Harms BA. Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. World J Surg. 1989; 13:586–591.PubMedCrossRefGoogle Scholar
  9. 9.
    Hahn L. Clinical findings and results of operative treatment in ilioinguinal nerve entrapment syndrome. Br J Obstet Gynaecol. 1989; 96: 1080–1083.PubMedCrossRefGoogle Scholar
  10. 10.
    Melville K, Schultz EA, Dougherty JM. Ilioinguinal-iliohypogastric nerve entrapment. Ann Emerg Med. 1990; 19:925–929.PubMedCrossRefGoogle Scholar
  11. 11.
    Moosman DA, Oelrich RM. Prevention of accidental trauma to the ilioinguinal nerve during inguinal herniorrhaphy. Am J Surg. 1977; 133: 146–148.PubMedCrossRefGoogle Scholar
  12. 12.
    Devor M. The pathophysiology and anatomy of damaged nerves. In Wall PD, Melzack R, Bonica JJ (eds): Textbook of pain. New York: Churchill Livingstone; 1984:49–64.Google Scholar
  13. 13.
    Kline DG, Hudson AR. Nerve injuries: operative results from major nerve injuries, entrapments, and tumors. Philadelphia: W.B. Saunders; 1995.Google Scholar
  14. 14.
    Mackinnon E, Dellon AL. Surgery of the peripheral nerve. New York: Thieme Medical Publishers; 1988.Google Scholar
  15. 15.
    Bendavid R. Complications of groin hernia surgery. Surg Clin North Am. 1998; 78(6):1088–1103.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • R. Graham Vanderlinden
    • 1
  • Rajiv Midha
    • 1
  • Loren Vanderlinden
    • 1
  1. 1.Department of NeurosurgeryMississaugaTrillium Health CentreCanada

Personalised recommendations