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Ilioinguinal nerve entrapment

Vibhor Wadhwa, Kelly M Scott, Shai Rozen, Adam J Starr, Avneesh Chhabra
Chronic pelvic pain is a disabling condition that affects a large number of men and women. It may occur after a known inciting event, or it could be idiopathic. A common cause of pelvic pain syndrome is neuropathy of the pelvic nerves, including the femoral and genitofemoral nerves, ilioinguinal and iliohypogastric nerves, pudendal nerve, obturator nerve, lateral and posterior femoral cutaneous nerves, inferior cluneal nerves, inferior rectal nerve, sciatic nerve, superior gluteal nerve, and the spinal nerve roots...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Özlem Kara, Abdullah Yıldız, Hülya Erteşoğlu Toydemir, Fatma Münevver Gökyiğit, Melih Akın, Çetin Ali Karadağ, Nihat Sever, Ali İhsan Dokucu
PURPOSE: In this study, we aim to assess the alteration of IIN functions in children with inguinal hernias operated on using open or 'percutaneous internal ring suturing' (PIRS). METHODS: This study was based on a prospective clinical trial of 60 pediatric patients. They were operated on using PIRS or conventional open hernia repair technique. Group 1 included 35 patients who were treated with PIRS technique. Group 2 included 22 patients who underwent a conventional open hernia repair...
May 2015: Pediatric Surgery International
M Zannoni, P Nisi, M Iaria, E Luzietti, M Sianesi, L Viani
BACKGROUND: Chronic post-operative inguinodynia occurs in about 10 % of patients undergoing inguinal hernioplasty with prosthesis; it is characterized by a broad pleomorphism of symptoms, including relative to individual variability of algic perception. Its intensity can also potentially jeopardize patient's work and social activities. The most notorious cause of inguinodynia is neuropathy, resulting from the involvement of one or more inguinal nerves (iliohypogastric, ilioinguinal and genitofemoral nerves) in fibroblastic processes, or from nervous stimulation, caused by prosthetic material on adjacent nervous trunks...
August 2015: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Wayne Hsu, Ching-Shyang Chen, Hung-Chia Lee, Hung-Hua Liang, Li-Jen Kuo, Po-Li Wei, Ka-Wai Tam
BACKGROUND: Chronic groin pain after inguinal hernia repair, a serious problem, is caused by entrapment of the ilioinguinal nerve either by mesh or development of fibrosis. Division of the ilioinguinal nerve during hernioplasty has been found to reduce the incidence of chronic groin pain. However, the traditional approach favors preservation of the ilioinguinal nerve during open hernia repair. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials that compared the outcomes of preservation versus division of the ilioinguinal nerve during open mesh repair of inguinal hernia...
October 2012: World Journal of Surgery
Ja Hyun Shin, Fred M Howard
STUDY OBJECTIVE: To determine the incidence and clinical significance of iliohypogastric-ilioinguinal neuropathy from lower abdominal lateral port placement and fascial closure during laparoscopic gynecologic surgery. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: University-based referral center specializing in minimally invasive gynecologic surgery and chronic abdominopelvic pain. PATIENTS: Women who underwent a laparoscopic procedure because of benign gynecologic indications during a 3-year study period from 2008 to 2011...
July 2012: Journal of Minimally Invasive Gynecology
Lennart Hahn
OBJECTIVE: Neuralgic pain caused by entrapment of peripheral nerves can be a difficult clinical problem. The objective of the present study was to assess pain and quality of life in women with pain secondary to ilioinguinal nerve entrapment. DESIGN: In a controlled prospective crossover study, women with ilioinguinal nerve entrapment were randomly allocated to either medical treatment or surgical resection of the ilioinguinal nerve. SETTING: A university hospital...
September 2011: Acta Obstetricia et Gynecologica Scandinavica
J Rigaud, T Riant, D Delavierre, L Sibert, J-J Labat
INTRODUCTION: Chronic pelvic and perineal pain can be related to a nerve lesion caused by direct or indirect trauma or by an entrapment syndrome, which must then be demonstrated by a test block. The purpose of this article is to review the techniques and modalities of somatic nerve block in the management of chronic pelvic and perineal pain. MATERIAL AND METHODS: A review of the literature was performed by searching PubMed for articles on somatic nerve infiltrations in the management of chronic pelvic and perineal pain...
November 2010: Progrès en Urologie
Ashwin Viswanathan, Daniel H Kim, Natasha Reid, David G Kline
OBJECTIVE: Nerves of the pelvic plexus and lower abdominal wall can lead to chronic neuralgias owing to a variety of causes, including iatrogenic injury, trauma, tumors, and primary nerve entrapment. Differentiating among the various neural etiologies can be a challenging task. Here, we present a large series of patients who underwent surgical treatment of these nerves, with an emphasis on diagnostic and therapeutic considerations. METHODS: Between 1970 and 2006, the senior authors (DGK and DHK) surgically treated 264 cases of neuralgia of the pelvic plexus and nerves...
October 2009: Neurosurgery
Andrew C Zacest, Stephen T Magill, Valerie C Anderson, Kim J Burchiel
OBJECT: Ilioinguinal neuralgia is one cause of chronic groin pain following inguinal hernia repair, and it affects approximately 10% of patients. Selective ilioinguinal neurectomy is one proposed treatment option for carefully selected patients. The goal of this study was to determine the long-term outcome of patients who underwent selective ilioinguinal neurectomy for chronic post-hernia pain. METHODS: The authors retrospectively reviewed the clinical assessment, surgical treatment, and long-term outcome in 26 patients with ilioinguinal neuralgia who underwent selective ilioinguinal neurectomy performed by the senior author (K...
April 2010: Journal of Neurosurgery
U Giger, M N Wente, M W Büchler, S Krähenbühl, J Lerut, L Krähenbühl
BACKGROUND: Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored. METHODS: Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow-up data were obtained 1 and 12 months after surgery...
September 2009: British Journal of Surgery
Henri Vuilleumier, Martin Hübner, Nicolas Demartines
BACKGROUND: Chronic neuropathy after hernia repair is a neglected problem as very few patients are referred for surgical treatment. The aim of the present study was to assess the outcome of standardized surgical revision for neuropathic pain after hernia repair. METHODS: In a prospective cohort study we evaluated all patients admitted to our tertiary referral center for surgical treatment of persistent neuropathic pain after primary herniorrhaphy between 2001 and 2006...
April 2009: World Journal of Surgery
Robert P Dunbar, Michael J Gardner, Brian Cunningham, Milton L Chip Routt
Sciatic nerve injury associated with acetabular fractures has been reported in most series. Typically, sciatic neuropraxia occurs from traumatic impaction or compression due to posterior hip fracture-dislocation. We report 2 patients with sciatic nerve entrapment within the posterior column components of their associated both-column acetabular fractures. Following neuroplasty through a Kocher-Langenbeck surgical approach, both patients' neurologic function improved. This unlikely cause of neurologic compromise should be considered in all patients with symptoms of sciatic nerve injury or irritation and particularly in the presence of a mechanical block during posterior column reduction through an ilioinguinal approach...
January 2009: Journal of Orthopaedic Trauma
Maarten J A Loos, Marc R M Scheltinga, Rudi M H Roumen
OBJECTIVE: The authors assessed the long-term pain relief after local nerve blocks or neurectomy in patients suffering from chronic pain because of Pfannenstiel-induced nerve entrapment. SUMMARY BACKGROUND DATA: The low transverse Pfannenstiel incision has been associated with chronic lower abdominal pain because of nerve entrapment (2%-4%). Treatment options include peripheral nerve blocks or a neurectomy of neighboring nerves. Knowledge on adequate (surgical) management is scarce...
November 2008: Annals of Surgery
S Delikoukos, F Fafoulakis, G Christodoulidis, T Theodoropoulos, C Hatzitheofilou
OBJECTIVES: Mild pain lasting for a few days is common following mesh inguinal hernia repair. In some patients however, severe groin pain may appear months or even years postoperatively. The aim of this study was to report our experience of late-onset persisting severe postoperative groin pain occurring years after mesh hernioplasty. METHODS: In a 9-year period, 1,633 patients (1,073 men), median age 63 years (range 19-88), underwent mesh groin hernia repair. Between 1...
December 2008: Hernia: the Journal of Hernias and Abdominal Wall Surgery
J P Miller, F Acar, V B Kaimaktchiev, S H Gultekin, K J Burchiel
Ilioinguinal neuropathy is a well-described complication of mesh inguinal herniorrhaphy. We report the first human case, to our knowledge, of ilioinguinal nerve mesh entrapment with neuropathological changes that suggest an inflammatory cause for this chronic pain syndrome.
April 2008: Hernia: the Journal of Hernias and Abdominal Wall Surgery
R G Holzheimer, U Gresser
UNLABELLED: Chronic pain in the hip, groin or thigh can be caused by a wide spectrum of diseases posing extended diagnostic problems. We describe the case of a 10-years old child with chronic pain in the groin with gait restriction for more than six months without successful classification and treatment. The girl suffered from heavy pain in the groin after a sporting contest which forced her to walk with walking sticks and to avoid climbing stairs. Within six months she was examined by pediatric, orthopedic, pediatric surgery, pediatric orthopedic, radiology, pediatric rheumatology specialists...
July 26, 2007: European Journal of Medical Research
S Delikoukos, L Lavant, G Hlias, K Palogos, D Gikas
BACKGROUND: Tension-free inguinal hernia repair is one of the so-called painless operations. Mild or medium postoperative pain, however, even in the mesh repair era, is common and usually due to ilioinguinal nerve entrapment or mesh fixation in the periostium of the pubic tubercle. Especially in indirect inguinal hernia repair, however, hernia sac ligation and excision may be the cause of pain. The aim of this study was to conduct a single-center prospective randomized trial with a view to clarify this issue on a scientific basis...
October 2007: Hernia: the Journal of Hernias and Abdominal Wall Surgery
B C ter Meulen, E W Peters, A Wijsmuller, R F Kropman, A Mosch, D L J Tavy
Ilioinguinal nerve entrapment presents with a clinical triad of pain in the iliac fossa and inguinal region, sensory abnormalities in the cutaneous distribution of the nerve and tenderness on palpation 2-3 cm medial and below the anterior superior iliac spine. The syndrome poses diagnostic difficulties, as genitofemoral nerve entrapment and non-neurological conditions of the lower abdomen may cause similar pain. We report on a patient with acute groin pain radiating towards the scrotum, caused by ilioinguinal nerve entrapment...
July 2007: Clinical Neurology and Neurosurgery
Shyam Balasubramanian, Patricia Morley-Forster
BACKGROUND: There are numerous possible causes for chronic pelvic pain. Evaluation of these causes should begin with the least invasive form of assessment. CASE: A 28-year-old woman with chronic pelvic pain underwent an array of investigations and surgical interventions without relief of pain. When she was admitted to hospital because of a flare up of pelvic pain, the chronic pain service was consulted. The presentation of stabbing pain that was reproduced by eliciting focal tenderness over the course of ilioinguinal nerve made nerve entrapment a possible diagnosis...
July 2006: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Dima Rozen, Jane Ahn
BACKGROUND AND PURPOSE: Ilioinguinal neuralgia secondary to inguinal hernia repair is frequently a chronic, debilitating pain. It is most often due to destruction or entrapment of nerve tissue from staples, sutures, or direct surgical trauma. Treatment modalities, including oral analgesics, nerve blocks, mesh excision, and surgical neurectomy, have varied success rates. Pulsed radiofrequency (PRF) has recently been described as a successful method of treating chronic groin pain. Unlike conventional radiofrequency, PRF is non-neurodestructive and therefore less painful and without the potential complications of neuritis-like reactions and neuroma formation...
July 2006: Mount Sinai Journal of Medicine, New York
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