caa a22 4500 475780906 CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000137 doi (NATIONALLICENCE)springer-10.1007/s004640000137 The cutaneous nerves encountered during laparoscopic repair of inguinal hernia [Elektronische Daten] New anatomical findings for the surgeon [R. Rosenberger, H. Loeweneck, G. Meyer] Background: With an incidence rate of 2%, injury to the nerves of the lumbar plexus is the most common complication of laparoscopic hemioplasty, particularly when the transabdominal preperitoneal (TAPP) technique is used. Methods: The course of the genitofemoral nerve, lateral femoral cutaneous nerve, and ilioinguinal nerve within the operation site was investigated in 53 adult dissecting-room bodies. Their relationship to the deep inguinal ring, iliopubic tract, and anterior superior iliac spine was also examined. Results: Both the femoral and genital branches of the genitofemoral nerve may penetrate the abdominal wall lateral to the deep ring and cranial to the iliopubic tract. The lateral femoral cutaneous nerve and the ilioinguinal nerve may ran immediately lateral to the anterior superior iliac spine Conclusion: Contrary to the previously accepted opinion, dissection and the placement of staples either cranial to the iliopubic tract or lateral to the anterior superior iliac spine can result in injury to the nerves. Springer-Verlag, 2000 Genitofemoral nerve nationallicence Hernia nationallicence Ilioinguinal nerve nationallicence Laparoscopic inguinal hemioplasty nationallicence Lateral femoral cutaneous nerve nationallicence Nerve injury nationallicence Rosenberger R. Department of Anatomy, Ludwig Maximilian University, Pettenkoferstrasse 11, D-80336, Munich, Germany aut Loeweneck H. Department of Anatomy, Ludwig Maximilian University, Pettenkoferstrasse 11, D-80336, Munich, Germany aut Meyer G. Department of Surgery, Ludwig Maximilian University, Klinikum Grosshadem, Pettenkoferstrasse 11, D-80336, Munich, Germany aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 731-735 0930-2794 14:8<731 2000 14 464 https://doi.org/10.1007/s004640000137 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000137 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rosenberger R. Department of Anatomy, Ludwig Maximilian University, Pettenkoferstrasse 11, D-80336, Munich, Germany aut NATIONALLICENCE 700 1- Loeweneck H. Department of Anatomy, Ludwig Maximilian University, Pettenkoferstrasse 11, D-80336, Munich, Germany aut NATIONALLICENCE 700 1- Meyer G. Department of Surgery, Ludwig Maximilian University, Klinikum Grosshadem, Pettenkoferstrasse 11, D-80336, Munich, Germany aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 731-735 0930-2794 14:8<731 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer