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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Anatomical basis of neuropathies and damage to the ilioinguinal nerve during repairs of groin hernias. (about 100 dissections)
Surgical and Radiologic Anatomy, Volume 29, No. 8, Year 2007
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Description
Surgical access to the inguinal region, notably during hernia repairs, exposes the ilioinguinal nerve to the risk of damage at the origin of the neuralgia. The incidence of these post-operative neuropathies and their medicolegal consequences justify this study about the anatomical variations of the ilioinguinal nerve. With the aim of preventing its damage during repairs of groin hernias and identifying the factors of onset of chronic spontaneous neuropathy of the ilioinguinal nerve, we dissected 100 inguinal regions of 51 fresh adult corpses. The nerve was absent in seven cases and double in one case. Out of the 94 ilioinguinal nerves observed, we analyzed the path in relation to the inguinal ligament and the connections with the walls of the inguinal canal and its content. The ilioinguinal nerve travels along the superficial surface of the internal oblique muscle, passing on average 1.015 cm from the inguinal ligament. In one case, the fibers of the internal oblique muscle spanned it in several places. The nerve was antero-funicular in 78.72% of cases and perforated the fascia of the external oblique in 28.72% of cases. The terminal division took place in the inguinal canal in 86% of cases, with terminal branches that sometimes perforated the fascia of the external oblique. These results enabled us to better understand the etiopathogenic aspects of certain neuropathies of the groin and to propose techniques useful for the protection of the nerve during repairs of groin hernias. © Springer-Verlag 2007.
Authors & Co-Authors
Ndiaye, Azou B.
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Diop, Mamadou B.
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Ndoye, Jean Marc Ndiaga
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Konaté, Ibrahima
Senegal, Dakar
Centre Hospitalier Universitaire Aristide le Dantec de Dakar
Ndiaye, Abd
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Mané, L.
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Nazarian, Serge
France, Marseille
Aix Marseille Université
Dia, Abdarahmane A.
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Statistics
Citations: 27
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1007/s00276-007-0272-7
ISSN:
09301038
Research Areas
Health System And Policy
Study Design
Cohort Study