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Iliohypogastric 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
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
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
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
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
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
James L Whiteside, Matthew D Barber
BACKGROUND: Ilioinguinal nerve entrapment is one of the most common nerve injuries following pelvic surgery. We present a case of intractable right lower quadrant pain successfully treated with neurectomy. CASE: A 31-year-old woman, following her third elective cesarean section, noted intense, right inguinal pain immediately upon awaking from anesthesia. The pain was burning and constant and exacerbated by standing and movement. After a period of failed conservative management, a workup concluded probable nerve entrapment...
November 2005: Journal of Reproductive Medicine
Richard J Cardosi, Carol S Cox, Mitchel S Hoffman
OBJECTIVE: To estimate the incidence, etiology, and outcome of neuropathies after major gynecologic surgery and to recommend management and prevention strategies for these complications. METHODS: The medical records of women who suffered neuropathy after major pelvic surgery between July 1995 and June 2001 were reviewed. Mechanism of injury, treatment, and outcome were determined from the patient charts. RESULTS: Twenty-three of 1210 patients undergoing major pelvic surgery during the defined period suffered a postoperative neuropathy for an incidence of 1...
August 2002: Obstetrics and Gynecology
C H Lee, A L Dellon
BACKGROUND: An approach to surgical management of the patient with groin pain is described based on our experience with 54 patients, six of whom had bilateral symptoms. History and physical examination are sufficient to relate the pain to one or more of the lateral femoral cutaneous (LFC), ilioinguinal (II), iliohypogastric (IH), or genitofemoral (GF) nerves. STUDY DESIGN: Retrospective analysis of patients with groin pain is reported, with emphasis on cause, involved nerves, and outcomes of operative management...
August 2000: Journal of the American College of Surgeons
J C Lantis, S D Schwaitzberg
Nerve injury has a reported incidence of 2% during laparoscopic hernia repair. These injuries usually involve the femoral branch of the genitofemoral nerve and the lateral cutaneous nerve of the thigh. Recently, in an effort to decrease the size of the port sites, surgeons have been using 5-mm tacking devices. These devices penetrate tissue more deeply and in so doing may injure nerves not classically at risk, such as the ilioinguinal and the iliohypogastric. We report the first documented injury to the ilioinguinal nerve during laparoscopic hernia repair...
June 1999: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
P Ziprin, P Williams, M E Foster
BACKGROUND: Groin pain in sportsmen is a common management problem. The results of surgical exploration in 25 male athletes presenting with groin pain are described. METHODS: All patients had had failed non-operative management. All groins were explored via an inguinal incision and the patients were reviewed for the presence of pain, function and their own subjective opinion. RESULTS: Nineteen injuries were unilateral and six bilateral. One patient had an occult inguinal hernia and another had a patent processus vaginalis...
April 1999: British Journal of Surgery
A M El-Minawi, F M Howard
No abstract text is available yet for this article.
May 1998: Obstetrics and Gynecology
D C Knockaert, A L Boonen, F L Bruyninckx, H J Bobbaers
The ilioinguinal-iliohypogastric nerve entrapment syndrome is a recognised cause of, usually chronic, lower abdominal pain. Diagnosis is based upon a typical clinical triad and relief of pain by injection of a local anaesthetic. In the present study we assessed the value of abdominal muscle electromyography in 41 patients with a clinical syndrome suggestive of ilioinguinal-iliohypogastric nerve entrapment. Electromyographic abnormalities were detected in 15 of 25 cases (60%) with definite diagnosis and in 6 of 16 (37%) of those with probable diagnosis of ilioinguinal-iliohypogastric nerve entrapment syndrome...
1996: Acta Clinica Belgica
T G Liszka, A L Dellon, P N Manson
This is a case report of iliohypogastric nerve entrapment following abdominoplasty with plication of the anterior rectus sheath. Persistent lower abdominal pain postoperatively following abdominal surgery despite a negative gastrointestinal and/or gynecologic workup should alert the surgeon to the possibility of iliohypogastric or ilioinguinal nerve entrapment. Diagnosis is confirmed when there are pain and sensory impairment in the distribution of the nerve with relief of pain following nerve block. Treatment consists of neurectomy with proximal resection into the retroperitoneum to avoid painful recurrent neuroma within the ventral abdominal wall...
January 1994: Plastic and Reconstructive Surgery
B L Carter, G B Racz
No abstract text is available yet for this article.
December 1994: Anesthesia and Analgesia
P Stulz, K M Pfeiffer
Twenty-three patients had a painful ilioinguinal and/or iliohypogastric nerve entrapment syndrome following common surgical procedures in the lower portion of the abdomen (appendectomy, repair of inguinal hernia, and gynecologic procedures through transverse incision). The diagnostic triad of nerve entrapment after operation comprises (1) typical burning or lancinating pain near the incision that radiates to the area supplied by the nerve, (2) clear evidence of impaired sensory perception of the nerve, and (3) pain relieved by infiltration with anesthetic for local effects at the site where the two nerves leave the internal oblique muscle...
March 1982: Archives of Surgery
W C Sippo, A C Gomez
Patients with a complaint of lower abdominal pain and a history of lower abdominal surgery, particularly inguinal herniorrhaphy, appendectomy, and procedures incorporating a Pfannenstiel incision, should have nerve entrapment considered in the differential diagnosis. Careful history and physical examination in conjunction with selected use of the ilioinguinal-iliohypogastric nerve block can confirm the diagnosis of nerve entrapment and preclude an unnecessary workup of these patients. Of the patients with nerve entrapment, most will experience complete relief of symptoms following serial injections and require no further treatment...
December 1987: Journal of Family Practice
J Y Maigne, R Maigne, H Guérin-Surville
On the supposition that some "pseudocoxalgias" might be due to a neuralgia of the lateral rami leaving the subcostal and iliohypogastric nerves above the lateral edge of the iliac crest, the authors undertook an anatomic study of their pathways and pattern of distribution. These rami supplying the skin below the iliac crest, which they cross close together, the ramus arising from the subcostal nerve by perforating the internal and external oblique abdominal muscles, that arising from the iliohypogastric nerve a little lower, creating a bony groove palpable in thin subjects and transformed into an osseomembranous tunnel by the aponeurosis of these muscles...
1986: Surgical and Radiologic Anatomy: SRA
W C Sippo, A Burghardt, A C Gomez
In a 16-month period, nine cases of iliohypogastric nerve entrapment were diagnosed in patients who had undergone a Pfannenstiel incision. Three patients experienced total relief with nerve blocks alone; four patients required surgical interruption of the iliohypogastric nerve to attain total relief; two patients received significant symptomatic relief with injection and desired no further treatment. The presentation, diagnosis, treatment, and prevention of entrapment of the iliohypogastric nerve as a complication of the Pfannenstiel incision are presented and discussed...
August 1987: American Journal of Obstetrics and Gynecology
K Melville, E A Schultz, J M Dougherty
Ilionguinal-iliohypogastric nerve entrapment was described as early as 1942 as a rare but proven cause of chronic inguinal pain in patients with previous lower abdominal surgery. We describe two cases of patients who presented to the emergency care unit with complaints of chronic lower abdominal pain. Surgical histories revealed known risk factors for ilioinguinal-iliohypogastric nerve entrapment. After application of a simple bedside procedure, the diagnoses were confirmed.
August 1990: Annals of Emergency Medicine
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