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Related Experiment Videos

Entrapment neuropathy in laparoscopic herniorrhaphy

A S Seid1, E Amos

  • 1Saint John's Hospital and Health Center, Santa Monica, CA 90404.

Surgical Endoscopy
|September 1, 1994
PubMed
Summary

Laparoscopic hernia repair staples can cause nerve entrapment, leading to pain. While often self-limiting, surgical intervention may be needed for severe cases, with staple removal offering relief.

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Area of Science:

  • Surgical innovation
  • Neurology
  • Anatomy

Background:

  • Laparoscopic hernia repair utilizes staples to secure prosthetic mesh.
  • Staple fixation has been linked to entrapment neuropathies of the lumbar plexus.

Purpose of the Study:

  • To describe the diagnosis and treatment of entrapment neuropathies following laparoscopic hernia repair.
  • To highlight the anatomical considerations for preventing nerve injury.

Main Methods:

  • Case series of nine patients with entrapment neuropathy.
  • Review of anatomical structures at risk during laparoscopic hernia repair.

Main Results:

  • Injuries involved lumbar plexus branches, excluding the obturator nerve.
  • Most entrapments were self-limiting, but chronic disability occurred in some.
  • Surgical intervention (staple removal, neurolysis) relieved severe pain in a femoral nerve entrapment case.

Conclusions:

  • Understanding lumbar plexus anatomy is crucial for preventing staple-related nerve injuries.
  • Preventive measures can significantly reduce the incidence of this complication.

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