Abstract
Entrapment of the lateral cutaneous nerve of the thigh (LCNT) is a recognized complication of laparoscopic hernia repair. In our first 10 patients in a series of 30 laparoscopic herniorrhaphies we encountered two cases of meralgia paraesthetica, leading us to review our surgical technique and analyze the local anatomy in 20 LCNT cadaver dissections. The distances of the LCNT from fixed anatomical points were analyzed and safe margins of mesh placement at laparoscopic herniorrhaphy were defined.
Similar content being viewed by others
References
Aldrich EF, Van Den Heever CM (1989) Suprainguinal ligament approach for surgical treatment of meralgia paraesthetica. J Neurosurg 70: 492–494
Cunningham's textbook of anatomy (1981) 12th edition. Oxford University Press, Oxford, p. 793
Fitzgibbons RJ, Salerno GM, Filipi CJ (1991) Open laparoscopy. Surgical laparoscopy. Quality Medical Publishing, St. Louis, MO, pp 87–97
Flowers RS (1968) Meralgia paraesthetica: a clue to retroperitoneal malignant tumour. Am J Surg 116: 89–92
Grace DM (1987) Meralgia paraesthetica after gastroplasty for morbid obesity. Can J Surg 1: 64–66
Gray H (1989) Anatomy of the human body. Lea and Febiger, Philadelphia, pp 1498
Last's anatomy, regional and applied (1990) 8th edition. Churchill Livingstone, Edinburgh, p 147
Lichtenstein IL (1987) Herniorrhaphy: a personal experience with 6321 cases. Am J Surg 153: 553–559
Parsonnet V, Karasakalides A, Gielchinsky I, Hochberg M, Hussain SM (1991) Meralgia paraesthetica after coronary bypass surgery. J Thorac Cardiovasc Surg 101: 219–221
Richards WO, Sawyers JL (1991) Laparoscopic hernioplasty. Arch Surg 126: 1449
Spaw AT, Ennis BW, Spaw LP (1991) Laparoscopic hernia repair: the anatomic basis. J Laparoscopic Surg 1: 269–277
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Broin, E.O., Horner, C., Mealy, K. et al. Meralgia paraesthetica following laparoscopic inguinal hernia repair. Surg Endosc 9, 76–78 (1995). https://doi.org/10.1007/BF00187893
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187893