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A very nervous inguinal floor: report of a case.
Kulacoglu, H; Sen, T; Ozyaylali, I; Elhan, A.
Afiliação
  • Kulacoglu H; Diskapi Yildirim Beyazit Teaching and Research Hospital, Department of Surgery, Ankara, Turkey. hakankulacoglu@hotmail.com
Acta Chir Belg ; 113(1): 40-2, 2013.
Article em En | MEDLINE | ID: mdl-23550468
Chronic pain after inguinal hernia repair with prosthetic meshes is recorded in some patients. Although the exact etiology of the pain is not fully understood, it can be related to the trauma to the regional nerves. It is possible to involve these nerves by injuring, suturing, stapling, tacking or compressing them during the operation. Therefore, a delicate surgical approach to the inguinal floor with correct identification of three nerves is necessary for patient comfort at early and late postoperative period. We herein report a surgical view of an inguinal floor which are very rich of neural structures in a patient undergo an elective inguinal hernia repair. The number of the main nerve bundles was excessive, and they were thicker than generally met. This kind of anatomic variations may create a difficulty for repair with prosthetic material. The identification of the nerve structures was hard at first sight and the correct identification was only made by consulting the surgical picture with a senior anatomist.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Herniorrafia / Hérnia Inguinal / Canal Inguinal Tipo de estudo: Prognostic_studies Limite: Adult / Humans / Male Idioma: En Ano de publicação: 2013 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Herniorrafia / Hérnia Inguinal / Canal Inguinal Tipo de estudo: Prognostic_studies Limite: Adult / Humans / Male Idioma: En Ano de publicação: 2013 Tipo de documento: Article