ArticleSurgical endoscopy2021
A study to improve identification of the retroperitoneal course of iliohypogastric, ilioinguinal, femorocutaneous and genitofemoral nerves during laparoscopic triple neurectomy.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- A Didactic Ultrasound Manual for identifying lumbar Plexus Peripheral Nerves in the lower limb: Lower Abdominal Wall, Groin and Thigh.Ultrasound international open · 2026Review
- Anatomical variations of the ilioinguinal, iliohypogastric, and genitofemoral nerves: a systematic scoping review of cadaver studies.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- 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
- Knowledge and Practices Regarding Chronic Pain After Groin Hernia Surgery: A National Resident Survey in Senegal.Journal of abdominal wall surgery : JAWS · 2025Article
- Anatomical variations of ilioinguinal nerve: A systematic review of the literature.Surgical neurology international · 2024Review
- Article
- Intraoperative Nerve Stimulation as an Approach for the Surgical Treatment of Genitofemoral Neuralgia.The American journal of case reports · 2023Article
- Is mesh fixation necessary in laparoendoscopic techniques for M3 inguinal defects? An experimental study.Surgical endoscopy · 2023Article
- Anatomical Variations of the Iliohypogastric Nerve: A Systematic Review of the Literature.Cureus · 2022Review
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1 author at 1 institution in 1 country.
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Abstract
backgroundLaparoscopic triple neurectomy is an available treatment option for chronic groin pain, but a poor working knowledge of the retroperitoneal neuroanatomy makes it an unsafe technique. OBJECT: Describe the retroperitoneal course of iliohypogastric, ilioinguinal, lateral femoral cutaneous and genitofemoral nerves, to guide the surgeon who operates in this region.
methodsFifty adult cadavers were dissected resulting in 100 anatomic specimens. Additionally, 30 patients were operated for refractory chronic inguinal pain, using laparoscopic triple neurectomy. All operations and dissections were photographed. Measurements were made between the nerves of the lumbar plexus and various landmarks: interneural distances in a vertical midline plane, posterior or anterior iliac spine and branch presentation model.
resultsThe ilioinguinal and iliohypogastric nerves were independent in 78% (Type II) and separated by an average of 2.5 ± 0.8 cm. In surgery study, only 38% were recognized as Type II and at a significantly greater distance (3.5 ± 1.2 cm, p < 0.001). The distance between ilioinguinal and lateral femoral cutaneous nerves was also greater during surgery, with statistical significance (5.1 ± 1.5 versus 4.2 ± 1.5, p < 0.005). The distance of the nerves to their bone references were not statistically different. The genitofemoral nerve emerged from the psoas major muscle in 20% as two separate branches (Type II), regardless of the study. The lateral femoral cutaneous nerve had a mean distance of 0.98 ± 1.6 cm medial to the anterior superior iliac spine.
conclusionThe identification of the IH, II, FC and GF nerves is essential to reduce the rate of failures in the treatment of CGP. The frequent anatomical variations of the lumbar plexus nerves make knowledge of their courses in the retroperitoneal space essential to ensure safe surgery. The location of the nerves in the LTN is distorted by up to 1 cm. regarding references in the cadavers.
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