Hernia Surgery Flashcards
which nerve runs along the spermatic cord during inguinal hernia repair
ilioinguinal nerve
how do you avoid injury to ilioinguinal nerve during inguinal hernia repair
lift external aponeurosis prior to incising onto the spermatic cord, nerve runs along anterior aspect of spermatic cord
where does iliohypogastric nerve run during inguinal hernia repair
superior to inguinal canal and passes through external oblique aponeurosis superior to external ring
where does the femoral branch of the genitofemoral nerve run
travels beneath the inguinal ligament, does not enter inguinal canal
where does the genital branch of the genitofemoral nerve run
runs within the spermatic cord
function of the ilioinguinal nerve
sensory innervation to:
- upper inner thigh
- base of penis/scrotum (men)
- mons pubis and lateral aspect of labia (women)
function of iliohypogastric nerve
motor:
- abdominal muscles
sensory:
- skin of posterolateral gluteal region
- skin over abdomen
function of femoral branch of genitofemoral nerve
sensory:
- anterior thigh
- anterior scrotum (men)
- mons pubis (women)
function of genital branch of genitofemoral nerve
motor:
- cremaster muscle (men)
sensory:
- anterior scrotum (men)
- mons pubis and labia majora (women)
what maneuver can you do to help reduce an obturator hernia
incise the obturator membrane
boundaries of obturator foramen
- superior: superior pubic rami
- other borders: ischial rami
Where is the myofascial release done in an anterior component separation?
At external oblique LATERAL to linea semilunaris
Where is the myofascial release done in a posterior component separation?
Posterior to rectus muscle at Tranverse abdominus aponeurosis, medial to linea semilunaris
