Anatomic variability of groin innervation

• Autorzy: Bachul P. , Tomaszewski K. A. , Kmiotek E. K. , Kratochwil M. , Solecki R. , Walocha J. A.
• Języki publikacji: EN

Abstrakty

EN

Inguinal hernia repairs are very common yet fairly complex surgical procedures. Variations in the anatomical course of the inguinal nerves require that diligence is taken in their proper recognition. Inadvertent surgical injury to these nerves is associated with long term postoperative pain and complications. The aim of the present study was to highlight the complexity and variation in the innervation of the inguinal region in order to increase proper nerve identification during surgical interventions. Bilateral dissection of the inguinal and posterior abdominal regions in one human male cadaver revealed an atypical anatomic topography of the groin innervation. This unusual case was observed at the Jagiellonian University Anatomy Department during routine cadaveric preparations. The left ilioinguinal nerve was absent. The left genital branch of the genitofemoral nerve arose higher than expected from the lumbar plexus and supplied the groin region, which is typically innervated by the ilioinguinal nerve. Furthermore, the left lateral cutaneous femoral nerve and the right genital branch of the genitofemoral nerve also followed uncharacteristic courses. Awareness of topographical nerve variations during inguinal hernia repair will help surgeons identify and preserve important nerves, thus decreasing the incidence of chronic postoperative pain. (Folia Morphol 2013; 72, 3: 267–270)

Słowa kluczowe

EN

anatomical variation; groin; innervation; inguinal hernia; hernia; ilioinguinal nerve; genitofemoral nerve; cutaneous femoral nerve

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2013
• Tom: 72
• Numer: 3
• Opis fizyczny: p.267-270,fig.,ref.

Twórcy

autor

Bachul P.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31-034 Krakow, Poland
• Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University Medical College, Krakow, Poland

autor

Tomaszewski K. A.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31-034 Krakow, Poland

autor

Kmiotek E. K.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31-034 Krakow, Poland

autor

Kratochwil M.

• Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University Medical College, Krakow, Poland

autor

Solecki R.

• Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University Medical College, Krakow, Poland

autor

Walocha J. A.

• Department of Anatomy, Jagiellonian University Medical College, Kopernika 12, 31-034 Krakow, Poland

Bibliografia

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