NDLI: Anatomy of the ilioinguinal and iliohypogastric nerves with observations of their spinal nerve contributions.

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Anatomy of the ilioinguinal and iliohypogastric nerves with observations of their spinal nerve contributions.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Klaassen, Zachary Marshall, Ewarld Tubbs, R. Shane Louis, Robert G. Wartmann, Christopher T. Loukas, Marios
Description	Author Affiliation: Klaassen Z ( Department of Anatomical Sciences, School of Medicine, St George's University, Grenada, West Indies.)
Abstract	Proper anesthesia and knowledge of the anatomical location of the iliohypogastric and ilioinguinal nerves is important during hernia repair and other surgical procedures. Surgical complications have also implicated these nerves, emphasizing the importance of the development of a clear topographical map for use in their identification. The aim of this study was to explore anatomical variations in the iliohypogastric and ilioinguinal nerves and relate this information to clinical situations. One hundred adult formalin fixed cadavers were dissected resulting in 200 iliohypogastric and ilioinguinal nerve specimens. Each nerve was analyzed for spinal nerve contribution and classified accordingly. All nerves were documented where they entered the abdominal wall with this point being measured in relation to the anterior superior iliac spine (ASIS). The linear course of each nerve was followed, and its lateral distance from the midline at termination was measured. The ilioinguinal nerve originated from L1 in 130 specimens (65%), from T12 and L1 in 28 (14%), from L1 and L2 in 22 (11%), and from L2 and L3 in 20 (10%). The nerve entered the abdominal wall 2.8 ± 1.1 cm medial and 4 ± 1.2 cm inferior to the ASIS and terminated 3 ± 0.5 cm lateral to the midline. The iliohypogastric nerve originated from T12 on 14 sides (7%), from T12 and L1 in 28 (14%), from L1 in 20 (10%), and from T11 and T12 in 12 (6%). The nerve entered the abdominal wall 2.8 ± 1.3 cm medial and 1.4 ± 1.2 cm inferior to the ASIS and terminated 4 ± 1.3 cm lateral to the midline. For both nerves, the distance between the ASIS and the midline was 12.2 ± 1.1 cm. To reduce nerve damage and provide sufficient anesthetic for nerve block during surgical procedures, the precise anatomical location and spinal nerve contributions of the iliohypogastric and ilioinguinal nerves need to be considered.
File Format	HTM / HTML
ISSN	08973806
Issue Number	4
Volume Number	24
e-ISSN	10982353
Journal	Clinical Anatomy
Language	English
Publisher	Wiley-Liss
Publisher Date	2011-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Physiology Discipline Anatomy Hypogastric Plexus Anatomy & Histology Ilium Innervation Inguinal Canal Peripheral Nerves Spinal Nerves Abdominal Wall Aged Aged, 80 And Over Cadaver Female Humans Intraoperative Complications Prevention & Control Male Middle Aged Journal Article
Content Type	Text
Resource Type	Article
Subject	Anatomy Histology

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