It may be associated with muscle injury (i.e., rectus abdominis, pyramidalis, external oblique, transversus abdominis) or nerve damage (i.e., iliohypogastric
, ilioinguinal, genitofemoral, lateral femoral cutaneous, pudendal).
Routine removal of the ilioinguinal and iliohypogastric
nerves and genitofemoral nerves during this procedure is recommended to prevent neuropathic pain that may occur after the procedure (16).
The numbers of stained nerves among subcostal, iliohypogastric
, and ilioinguinal nerves were compared between conventional and alternative approaches using the Mann-Whitney U test.
The results demonstrated that ilioinguinal and iliohypogastric
nerve block by bupivacaine can reduce the need for morphine and hospitalization after surgery.
1H and 1I), very similar to the Lichtenstein technique, starting from the pubic tubercle, two sutures on internal oblique muscle avoiding iliohypogastric
nerve, and with two sutures on the inguinal ligament of Poupart (Fig.
The bolus anesthetic injection into this neurovascular fascial plane provides the anesthesiologist to block the dermatomal afferents of T7-11 intercostal nerves, T12 subcostal nerve, ilioinguinal and iliohypogastric
nerves, and cutaneous branches of L1-3 nerves [8,9].
"This plane carries the afferent nociceptor nerves for T7-L1, including the ilioinguinal and iliohypogastric
This complication can be well avoided by keeping mesh in a relaxed manner5 and by proper identification and protection of ilioinguinal, iliohypogastric
and genital nerves during operation.5,17
Di Giorgio et al., "Influence of preservation versus division of ilioinguinal, iliohypogastric
, and genital nerves during open mesh herniorrhaphy: prospective multicentric study of chronic pain," Annals of Surgery, vol.
Seventeen RCTs involving a total of 1230 patients were identified, 11 investigating transversus abdominis plane (TAP) blocks, three ilioinguinal/ iliohypogastric
blocks and three PVBs.
(8) describe the use of intra-operative abdominal blockage of the iliohypogastric
and ilio-inguinal (IHII) nerves to reduce pain after caesarean section.
(19) bupivacaine with total pethidine adrenaline with 1% requirement over 24 hours xylocaine injected to and duration of action of block the ilio-inguinal/ the block iliohypogastric
nerve in 30 women v.