What is mc nerve injured in open indirect inguinal hernia sx?
The most commonly injured nerve in open indirect inguinal hernia surgery is the ilioinguinal nerve. The ilioinguinal nerve is a branch of the first lumbar nerve and courses through the inguinal canal, where it can be at risk of injury during hernia surgery.
The ilioinguinal nerve supplies sensation to the skin over the pubic symphysis, the upper medial thigh, and the lower abdomen. Injury to this nerve can result in sensory deficits, including numbness or hypersensitivity in the affected areas.
In addition to the ilioinguinal nerve, other nerves that may be at risk of injury during hernia surgery include the genital branch of the genitofemoral nerve and the lateral femoral cutaneous nerve. Injury to these nerves can result in similar sensory deficits in the affected areas.
It is important for surgeons to be aware of the location of these nerves and to take measures to avoid injuring them during hernia surgery. Careful dissection and identification of the nerves can help to minimize the risk of injury and improve outcomes for patients.