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Related Experiment Videos

Segmental nerve damage during a McBurney's incision: a cadaveric study.

C J Jacobs1, W H Steyn, J M Boon

  • 1Section of Clinical Anatomy, Department of Anatomy, School of Medicine, Faculty of Health Sciences, University of Pretoria, 0001 Pretoria, South Africa.

Surgical and Radiologic Anatomy : SRA
|November 20, 2003
PubMed
Summary

McBurney

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Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Nerve Injury

Background:

  • McBurney's incision is a common surgical approach.
  • Potential for injury to ilioinguinal and iliohypogastric nerves exists.
  • Nerve injury may lead to conjoint tendon paralysis and indirect inguinal hernia.

Purpose of the Study:

  • To determine the incidence of ilioinguinal and iliohypogastric nerve injury with classic McBurney's incision.
  • To assess the anatomical relationship of these nerves to the incision and anterior superior iliac spine.

Main Methods:

  • Dissection of 33 cadaver specimens (right iliac fossa and lumbar region).
  • Performance of a classic McBurney's incision.
  • Identification and measurement of ilioinguinal and iliohypogastric nerves relative to the incision and anterior superior iliac spine.

Main Results:

  • Mean distance from ilioinguinal nerve to incision: 41.89 mm.
  • Mean distance from iliohypogastric nerve to incision: 34.63 mm.
  • Mean distance from nerves to anterior superior iliac spine: 6.69 mm (ilioinguinal) and 12.08 mm (iliohypogastric).
  • Zero instances of nerve injury observed in 33 incisions.

Conclusions:

  • Classic McBurney's incision in this cadaver study did not result in ilioinguinal or iliohypogastric nerve injury.
  • The anatomical distances suggest a margin of safety for these nerves during the procedure.

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