How do nerve injuries complicate an open inguinal hernia repair?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

The iliohypogastric nerve, because it lies on the conjoined tendon outside the inguinal canal, may be injured during dissection of the upper flap of the external oblique aponeurosis or fixation of the mesh to the conjoined tendon. It may also become trapped in sutures during closure of the external oblique aponeurosis.

The ilioinguinal nerve, because it lies in the inguinal canal along with the spermatic cord, may be injured during dissection of the cord.

The genital branch of the genitofemoral nerve, because it lies within the spermatic cord, may be injured during dissection of the hernia sac.


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