TAP blocks were also performed preoperatively by our anesthesiologists and involved an ultrasound-guided injection of local anesthetics into the neurovascular plane of the abdominal wall, providing analgesia to the abdominal wall by blocking the 7th to 11th intercostal nerves (T7-T11), the subcostal nerve (T12), the ilioinguinal
nerve and iliohypogastric nerve (L1-L2).
Pain may radiate to the proximal thigh, perineum, lower abdomen, inguinal ligament, or testicles as a result of irritation of the ilioinguinal
, genitofemoral, or obturator nerves.
11) A normal inguinal canal contains the ilioinguinal
nerve as well as the spermatic cord in men and the round ligament of the uterus in women.
Nerves that respond well to freezing include the ilioinguinal
nerves, intercostal nerves and superficial femoral nerves.
Pudendal neuralgia is but one type of pelvic neuralgia; neuropathic pain in the pelvic region also can stem from injury to the obturator, ilioinguinal
, iliohypogastric, or genitofemoral nerves, for instance.
Two trials compared ilioinguinal
block with US-guided TAP block.
nerve blockade for analgesia after caesarean section.
Also, a large majority of athletes have tears or disruptions of the external oblique fascia, especially where the branches of the ilioinguinal
and iliohypogastric nerves exit the fascia.
nerve block pain scores in first 24 with 0.
nerve excision in inguinal hernia repairs.
Transient femoral nerve palsy complicating preoperative ilioinguinal
blockade for inguinal herniorrhaphy.
In addition,, tendinitis of the adductor, the rectus femoris and abdominis muscles, as well as symphysitis or osteitis pubis, sacroiliac joint instability, sacral stress fractures, ilioinguinal
and genitofemoral nerve entrapment and combinations of all of the above mentioned are held responsible for chronic groin pain (Akita et al.