Journal ArticleDOI
Anatomical bases of prolonged ilio-inguinal-hypogastric regional anesthesia
F. Peschaud,F. Peschaud,F. Peschaud,Robert Malafosse,Patrice Le Floch-Prigent,Patrice Le Floch-Prigent,Carole Coste-See,B. Nordlinger,Vincent Delmas +8 more
TLDR
The anatomical bases of safe ilio-inguinal (II)-hypogastric anesthesia that can be prolonged into the post-operative period were determined and modified so that it could be used to provide regional anesthesia in five patients operated on for hernia.Abstract:
Although anesthesia and post-operative analgesia are associated with specific morbidity, regional anesthesia is not systematically given during groin hernia surgery. The goals of this work were to determine the anatomical bases of safe ilio-inguinal (II)-hypogastric anesthesia that can be prolonged into the post-operative period and to validate this technique on anatomical preparations and in clinical situations. We studied the courses of the ilio-hypogastric (IH) and II nerves in 33 halves of 20 embalmed adult cadavers. The intermediate portion of the IH and II nerves, located between the transverse and the internal oblique muscles, were found to be suitable for a simultaneous block with a single injection. We assessed the feasibility of injecting a percutaneous infiltration into this space by injecting a dye before dissection. In 75% of cases, we observed percutaneous coloring of the nerves, confirming that this site was suitable. To guide the infiltration, the points where the nerves passed through the transverse and the internal oblique muscles were located from the iliac crest and anterior and superior iliac spine, respectively. The nerve trunks were grouped for over 5 cm in a cell-fat layer running between these two deep muscles. It was possible to position a micro-catheter in this anatomical space to allow repeated injections. The results of this anatomical study were used to modify the technique so that it could be used to provide regional anesthesia in five patients operated on for hernia. Post-operative pain was very effectively controlled in four cases with no complications.read more
Citations
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Journal ArticleDOI
International guidelines for groin hernia management
Maarten Simons,M. Smietanski,Hendrik J. Bonjer,Reinhard Bittner,Marc Miserez,Th. J. Aufenacker,Robert J. Fitzgibbons,Pradeep Chowbey,H. M. Tran,R. Sani,Frederik Berrevoet,Juliane Bingener,Thue Bisgaard,Kamil Bury,Giampiero Campanelli,David C. Chen,Joachim Conze,Diego Cuccurullo,A. C. de Beaux,Hasan H. Eker,René H. Fortelny,J. F. Gillion,B. van den Heuvel,William W. Hope,Lars N. Jorgensen,Uwe Klinge,Ferdinand Köckerling,J. Kukleta,I. Konate,A. L. Liem,Davide Lomanto,M. J. A. Loos,Manuel López-Cano,Mahesh C. Misra,Agneta Montgomery,Salvador Morales-Conde,F. Muysoms,H Niebuhr,Pär Nordin,Maciej Pawlak,G. H. van Ramshorst,Wolfgang Reinpold,D. L. Sanders,N. Schouten,S. Smedberg,R. K. J. Simmermacher,Sathien Tumtavitikul,N. van Veenendaal,Dirk Weyhe,A. R. Wijsmuller +49 more
TL;DR: The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair.
Journal ArticleDOI
International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery
Sergio Alfieri,Parviz K. Amid,Giampiero Campanelli,G. Izard,Henrik Kehlet,A. R. Wijsmuller,Davio Di Miceli,Giovanni Battista Doglietto +7 more
TL;DR: The consensus reached on some open questions in the field of post-herniorrhaphy chronic pain may help to better analyze and compare studies, avoid sending erroneous messages to the scientific community, and provide some guidelines for the prevention and treatment of post.
Journal ArticleDOI
Comparison of fresh and Thiel’s embalmed cadavers according to the suitability for ultrasound-guided regional anesthesia of the cervical region
Mehdi Benkhadra,Alexandre Faust,Sylvain Ladoire,Olivier Trost,Pierre Trouilloud,Claude Girard,Friedrich Anderhuber,Georg Feigl +7 more
TL;DR: Cadavers embalmed according to Thiel’s method should be recommended for ultrasound-guided punctures as a realistic and lifelike model because of the “pop” feeling and nerve swelling present in the Thiel group.
Journal ArticleDOI
Factors Influencing Postoperative Urinary Retention in Patients Undergoing Elective Inguinal Herniorrhaphy
Journal ArticleDOI
Anatomical Variations of the Iliohypogastric Nerve: A Systematic Review of the Literature
K. Manolakos,Konstantinos Zygogiannis,Chagigia Mousa,Theano Demesticha,V. Protogerou,Theodore Troupis +5 more
TL;DR: A systematic review of the literature about the anatomical topography and variations of the iliohypogastric nerve and depicted several anatomical variations including its general properties, its origin, its branching patterns, its course, its relation to anatomical landmarks, and its termination.
References
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Journal ArticleDOI
Anatomic variability of the ilioinguinal and genitofemoral nerve: Implications for the treatment of groin pain
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Journal ArticleDOI
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Journal ArticleDOI
Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia.
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TL;DR: Seventeen of the 19 patients having a diagnosis of ilioinguinal neuralgia after previous inguinal herniorraphy, blunt abdominal trauma, or another operation were completely free of pain after resection of the entrapped portion of the nerve.
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