Prospective study of the neurotopographic adequacy of transverse incision in Lichtenstein inguinal hernioplasty
| Autor: | Carlos José Lazzarini Mendes, Sergio Roll, Isabela Brianti, Kassem Samir Saleh, Daniel P.A. Neto, Adhemar Monteiro Pacheco, Mirna Duarte Barros, Rodrigo Altenfelder Silva |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty anatomy Adolescent Inguinal Canal Observational Study Hernia Inguinal hernia 03 medical and health sciences Young Adult 0302 clinical medicine Cadaver medicine Humans In patient 030212 general & internal medicine Inguinal hernioplasty Prospective Studies Prospective cohort study Herniorrhaphy Aged Aged 80 and over business.industry Abdominal circumference General Medicine Middle Aged Inguinal canal Transverse incision abdominal wall Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis abdominal business Body mass index Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Lichtenstein technique requires identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves. The aim of the study was to verify if the transverse incision is suitable for identification of the iliohypogastric, ilioinguinal, and genital branch of the genitofemoral nerves. This study included 29 patients who underwent hernioplasty, and also 10 dissections of the inguinal regions from 5 cadavers. The anthropometric measurements included: incision size (IS) and topography, pubic angle (PA), body mass index (BMI), and the distance from the pubis to the incision and bi-iliac crest plane. The correlations between variables of interest and the ability to identify the nerves were assessed. Measures of height (P = 0.108), BMI (P = 0.343), and abdominal circumference (AbC) (P = 1.000); the correlations between incision IS and PA (r = −0.17, P = 0.406), IS and BMI (r = 0.56, P = 0.002), IS and AbC (r = 0.56, P = 0.002); incision and pubic heights (r = −0.26, P = 0.174); patient height and PA (r = −0.33, P = 0.092). The associations between these measures were: BMI (P = 0.136), AbC (P = 0.104), PA (P = 0.641), and IS (P = 0.399). The rates of successful nerve identification in patients and corpse were: iliohypogastric—29 (29)/9 (10), 100% (P = 0.147); ilioinguinal—29 (29)/10 (10), 100%; and genital branch of the genitofemoral nerve—26 (29)/9 (10), 89.7/80% (P = 0.488). The transverse incision permitted identification of the nerves for Lichtenstein hernioplasty. |
| Databáze: | OpenAIRE |
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