LAPAROSCOPIC IDENTIFICATION OF PREPERITONEAL NERVE ANATOMY IN THE INGUINAL AREA

被引：22

作者：

KRAUS, MA ^{[1
]}

机构：

[1] HCA NEW PORT RICHEY HOSP,DEPT SURG,NEWPORT RICHEY,FL 34656

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 05期

关键词：

LAPAROSCOPIC; INGUINAL; HERNIA; NERVE; ANATOMY;

D O I：

10.1007/BF00642435

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The laparoscopic approach has recently been utilized for inguinal hernia repair. Nerve injuries are now being reported. The femoral branch of the genitofemoral nerve and the lateral cutaneous nerve of the thigh appear most at risk. The purpose of this study was to determine the feasibility of identifying these nerves laparoscopically on either a routine or selective basis. Twenty patients scheduled for laparoscopic inguinal hernia repair were prospectively selected. An attempt was made to identify these nerves so that optimum placement of staples could occur. The femoral branch of the genitofemoral nerve was identified in 19 of 20 patients and the lateral cutaneous nerve of the thigh in 18 of 20 patients. A review of 125 laparoscopic inguinal hernia repairs revealed five nerve injuries (4%). Details are given and recommendations discussed. Knowledge of preperitoneal anatomy and awareness of the location of these nerves should lead to a safer dissection and more accurate application of staples, hopefully decreasing the incidence of nerve injury.

引用

页码：377 / 381

页数：5

共 15 条

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