SynthesisHernia : the journal of hernias and abdominal wall surgery2019
Is it possible to identify the inguinal nerves during hernioplasty? A systematic review of the literature and meta-analysis of cadaveric and surgical studies.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Nerve identification during open inguinal hernia repair: a systematic review and meta-analyses.Langenbeck's archives of surgery · 2023Pooled it
- Ilioinguinal Nerve Neurectomy is better than Preservation in Lichtenstein Hernia Repair: A Systematic Literature Review and Meta-analysis.World journal of surgery · 2021Pooled it
- Origin and branching pattern of the iliohypogastric and ilioinguinal nerves and their exits in relation to the psoas major muscle: a cadaveric study.Anatomy & cell biology · 2025Article
- Single-point ultrasound-guided iliohypogastric-ilioinguinal-genitofemoral nerve block for inguinal hernia surgery in older adult patients: a randomized controlled trial.Quantitative imaging in medicine and surgery · 2024Article
- Identification of the ilioinguinal and iliohypogastric nerves during open inguinal hernia repair: a nationwide register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison.Journal of clinical medicine · 2024Article
- Nerve identification in open inguinal hernioplasty: A meta-analysis.Turkish journal of surgery · 2022Article
- Manual Therapy Treatment for Penile Pain- A Clinical Case Report with 6-Month Follow-up.The Journal of manual & manipulative therapy · 2022Article
- A three-component model of the spinal nerve ramification: Bringing together the human gross anatomy and modern Embryology.Frontiers in neuroscience · 2022Article
- Open Surgery for Sportsman's Hernia a Retrospective Study.Frontiers in surgery · 2022Article
- Authors' Reply: Ilioinguinal Nerve Neurectomy is better than Preservation in Lichtenstein Hernia Repair: A Systematic Literature Review and Meta-analysis.World journal of surgery · 2021Article
- A study to improve identification of the retroperitoneal course of iliohypogastric, ilioinguinal, femorocutaneous and genitofemoral nerves during laparoscopic triple neurectomy.Surgical endoscopy · 2021Article
- Dermatome Mapping Test in the analysis of anatomo-clinical correlations after inguinal hernia repair.BMC surgery · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatients who undergo inguinal hernioplasty may suffer from persistent postoperative pain due to inguinal nerve injuries. The aim of this systematic review and meta-analysis was to provide comprehensive data on the prevalence (identification rates), anatomical characteristics, and ethnic variations of the ilioinguinal (IIN), the iliohypogastric (IHN) and the genital branch of the genitofemoral (GNF) nerves.
methodsThe systematic literature search was conducted using the PubMed, Scopus and Web of Science databases.
resultsA total of 26 articles (5265 half-body examinations) were included in this study. The identification rate of the IIN was 94.4% (95% CI 89.5-97.9) using a random-effects model. Unweighted multiple regression analysis showed that study sample size (β = - 0.74, p = .036) was the only statistically significant predictor of lower prevalence. The identification rates of the IHN and GNF was 86.7% (95% CI 78.3%-93.3%) and 69.1% (95% CI 53.1%-83.0%) using a random-effects model, respectively. For those outcomes, a visual analysis of funnel and Doi plots indicated irregularity and provided evidence that larger studies tended to have lower identification rates. In terms of the synthesis of anatomical reference points, there was a large and statistically significant amount of heterogeneity for most outcomes.
conclusionsThe identification rates of the inguinal nerves in our study were lower than reported in literature. The lowest was found for GNF, suggesting that this nerve was the most difficult to identify. Knowledge regarding the anatomy of the inguinal nerves can facilitate their proper identification and reduce the risk of iatrogenic injury and postoperative pain.
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Registered trials
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