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

doi:10.1007/s10029-018-1857-2

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

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

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dc.contributor.author	Cirocchi, R.	pl
dc.contributor.author	Henry, Brandon [SAP20017780]	pl
dc.contributor.author	Mercurio, I.	pl
dc.contributor.author	Tomaszewski, Krzysztof [SAP20014544]	pl
dc.contributor.author	Palumbo, P.	pl
dc.contributor.author	Stabile, A.	pl
dc.contributor.author	Lancia, M.	pl
dc.contributor.author	Randolph, J.	pl
dc.date.accessioned	2020-01-17T10:02:56Z
dc.date.available	2020-01-17T10:02:56Z
dc.date.issued	2019	pl
dc.identifier.issn	1265-4906	pl
dc.identifier.uri	https://ruj.uj.edu.pl/xmlui/handle/item/144974
dc.language	eng	pl
dc.rights	Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/pl/legalcode	*
dc.title	Is it possible to identify the inguinal nerves during hernioplasty? : a systematic review of the literature and meta-analysis of cadaveric and surgical studies	pl
dc.type	JournalArticle	pl
dc.description.physical	569-581	pl
dc.abstract.en	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.	pl
dc.subject.en	hernioplasty	pl
dc.subject.en	iliohypogastric nerve	pl
dc.subject.en	ilioinguinal nerve	pl
dc.subject.en	genital branch of the genitofemoral nerve	pl
dc.subject.en	iatrogenic injury	pl
dc.description.volume	23	pl
dc.description.number	3	pl
dc.description.points	100	pl
dc.identifier.doi	10.1007/s10029-018-1857-2	pl
dc.identifier.eissn	1248-9204	pl
dc.title.journal	Hernia	pl
dc.language.container	eng	pl
dc.affiliation	Wydział Lekarski : Zakład Anatomii	pl
dc.subtype	Article	pl
dc.rights.original	CC-BY; inne; ostateczna wersja wydawcy; w momencie opublikowania; 0	pl
dc.identifier.project	ROD UJ / OP	pl
dc.cm.id	92424
dc.cm.date	2020-01-07
.pointsMNiSW	[2019 A]: 100