Is it possible to identify the inguinal nerves during hernioplasty? : a systematic review of the literature and meta-analysis of cadaveric and surgical studies

2019
journal article
article
cris.lastimport.wos2024-04-09T20:24:30Z
dc.abstract.enPurpose Patients who undergo inguinal hernioplasty may suffer from persistent postoperative pain due to inguinal nerve injuries. The aim of this systematic review and meta-analysis was to provide comprehensive data on the prevalence (identification rates), anatomical characteristics, and ethnic variations of the ilioinguinal (IIN), the iliohypogastric (IHN) and the genital branch of the genitofemoral (GNF) nerves. Methods The systematic literature search was conducted using the PubMed, Scopus and Web of Science databases. Results A total of 26 articles (5265 half-body examinations) were included in this study. The identification rate of the IIN was 94.4% (95% CI 89.5–97.9) using a random-effects model. Unweighted multiple regression analysis showed that study sample size (β = − 0.74, p = .036) was the only statistically significant predictor of lower prevalence. The identification rates of the IHN and GNF was 86.7% (95% CI 78.3%–93.3%) and 69.1% (95% CI 53.1%–83.0%) using a random-effects model, respectively. For those outcomes, a visual analysis of funnel and Doi plots indicated irregularity and provided evidence that larger studies tended to have lower identification rates. In terms of the synthesis of anatomical reference points, there was a large and statistically significant amount of heterogeneity for most outcomes. Conclusions The identification rates of the inguinal nerves in our study were lower than reported in literature. The lowest was found for GNF, suggesting that this nerve was the most difficult to identify. Knowledge regarding the anatomy of the inguinal nerves can facilitate their proper identification and reduce the risk of iatrogenic injury and postoperative pain.pl
dc.affiliationWydział Lekarski : Zakład Anatomiipl
dc.cm.date2020-01-07
dc.cm.id92424
dc.contributor.authorCirocchi, R.pl
dc.contributor.authorHenry, Brandon - 197333 pl
dc.contributor.authorMercurio, I.pl
dc.contributor.authorTomaszewski, Krzysztof - 135854 pl
dc.contributor.authorPalumbo, P.pl
dc.contributor.authorStabile, A.pl
dc.contributor.authorLancia, M.pl
dc.contributor.authorRandolph, J.pl
dc.date.accessioned2020-01-17T10:02:56Z
dc.date.available2020-01-17T10:02:56Z
dc.date.issued2019pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number3pl
dc.description.physical569-581pl
dc.description.points100pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume23pl
dc.identifier.doi10.1007/s10029-018-1857-2pl
dc.identifier.eissn1248-9204pl
dc.identifier.issn1265-4906pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/144974
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa*
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl*
dc.share.typeinne
dc.subject.enhernioplastypl
dc.subject.eniliohypogastric nervepl
dc.subject.enilioinguinal nervepl
dc.subject.engenital branch of the genitofemoral nervepl
dc.subject.eniatrogenic injurypl
dc.subtypeArticlepl
dc.titleIs it possible to identify the inguinal nerves during hernioplasty? : a systematic review of the literature and meta-analysis of cadaveric and surgical studiespl
dc.title.journalHerniapl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T20:24:30Z
dc.abstract.enpl
Purpose Patients who undergo inguinal hernioplasty may suffer from persistent postoperative pain due to inguinal nerve injuries. The aim of this systematic review and meta-analysis was to provide comprehensive data on the prevalence (identification rates), anatomical characteristics, and ethnic variations of the ilioinguinal (IIN), the iliohypogastric (IHN) and the genital branch of the genitofemoral (GNF) nerves. Methods The systematic literature search was conducted using the PubMed, Scopus and Web of Science databases. Results A total of 26 articles (5265 half-body examinations) were included in this study. The identification rate of the IIN was 94.4% (95% CI 89.5–97.9) using a random-effects model. Unweighted multiple regression analysis showed that study sample size (β = − 0.74, p = .036) was the only statistically significant predictor of lower prevalence. The identification rates of the IHN and GNF was 86.7% (95% CI 78.3%–93.3%) and 69.1% (95% CI 53.1%–83.0%) using a random-effects model, respectively. For those outcomes, a visual analysis of funnel and Doi plots indicated irregularity and provided evidence that larger studies tended to have lower identification rates. In terms of the synthesis of anatomical reference points, there was a large and statistically significant amount of heterogeneity for most outcomes. Conclusions The identification rates of the inguinal nerves in our study were lower than reported in literature. The lowest was found for GNF, suggesting that this nerve was the most difficult to identify. Knowledge regarding the anatomy of the inguinal nerves can facilitate their proper identification and reduce the risk of iatrogenic injury and postoperative pain.
dc.affiliationpl
Wydział Lekarski : Zakład Anatomii
dc.cm.date
2020-01-07
dc.cm.id
92424
dc.contributor.authorpl
Cirocchi, R.
dc.contributor.authorpl
Henry, Brandon - 197333
dc.contributor.authorpl
Mercurio, I.
dc.contributor.authorpl
Tomaszewski, Krzysztof - 135854
dc.contributor.authorpl
Palumbo, P.
dc.contributor.authorpl
Stabile, A.
dc.contributor.authorpl
Lancia, M.
dc.contributor.authorpl
Randolph, J.
dc.date.accessioned
2020-01-17T10:02:56Z
dc.date.available
2020-01-17T10:02:56Z
dc.date.issuedpl
2019
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
3
dc.description.physicalpl
569-581
dc.description.pointspl
100
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
23
dc.identifier.doipl
10.1007/s10029-018-1857-2
dc.identifier.eissnpl
1248-9204
dc.identifier.issnpl
1265-4906
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/144974
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.uri*
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
inne
dc.subject.enpl
hernioplasty
dc.subject.enpl
iliohypogastric nerve
dc.subject.enpl
ilioinguinal nerve
dc.subject.enpl
genital branch of the genitofemoral nerve
dc.subject.enpl
iatrogenic injury
dc.subtypepl
Article
dc.titlepl
Is it possible to identify the inguinal nerves during hernioplasty? : a systematic review of the literature and meta-analysis of cadaveric and surgical studies
dc.title.journalpl
Hernia
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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