Abstract
Ilioinguinal nerve entrapment is a common cause of groin or inguinal area pain. The ilioinguinal nerve can become entrapped after pelvic or hernia surgery, which can result in disabling pain in the inguinal area, lateral genitalia, or abdominal wall. The distribution and features of this pain can vary between patients, depending on anatomic variations in the course of the ilioinguinal nerve and the location of the entrapment. The pain can be diagnosed with nerve blocks and treated with neurolysis or neurectomy. Ilioinguinal entrapment causing abdominal pain is discussed in Chap. 40; this chapter discusses ilioinguinal entrapment causing groin and pelvic pain.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bardeen CR. A statistical study of the abdominal and border nerves in man. Am J Anat. 1902;1(1):203–28.
Peng P, Tumber PS. Ultrasound-guided interventional procedures for patients with chronic pelvic pain – a description of techniques and review of literature. Pain Physician. 2007;11(2):215–24.
Ndiaye A, Diop M, Ndoye JM, Konate I, Ndiaye AI, Mane L, et al. Anatomical basis of neuropathies and damage to the ilioinguinal nerve during repairs of groin hernias. (about 100 dissections). Surg Radiol Anat. 2007;29(8):675–81.
Stulz P, Pfeiffer KM. Peripheral nerve injuries resulting from common surgical procedures in the lower portion of the abdomen. Arch Surg. 1982;117(3):324–7.
Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions. Am J Obstet Gynecol. 2003;189(6):1574–8.
Kim DH, Murovic JA, Tiel RL, Kline DG. Surgical management of 33 ilioinguinal and iliohypogastric neuralgias at Louisiana State University Health Sciences Center. Neurosurgery. 2005;56(5):1013–20; discussion – 20.
Starling JR, Harms BA, Schroeder ME, Eichman PL. Diagnosis and treatment of genitofemoral and ilioinguinal entrapment neuralgia. Surgery. 1987;102(4):581–6.
Hollis MH, Lemay DE. Nerve entrapment syndromes of the lower extremity: Medscape; 2012. Available from: http://emedicine.medscape.com/article/1234809-overview.
Toussaint CP, Perry 3rd EC, Pisansky MT, Anderson DE. What’s new in the diagnosis and treatment of peripheral nerve entrapment neuropathies. Neurol Clin. 2010;28(4):979–1004.
Hahn L. Clinical findings and results of operative treatment in ilioinguinal nerve entrapment syndrome. BJOG Int J Obstet Gynaecol. 1989;96(9):1080–3.
Benes J, Nádvornik P, Dolezel J. Abdominoinguinal pain syndrome treated by centrocentral anastomosis. Acta Neurochir (Wien). 2000;142(8):887–91.
Soneji N, Peng PW. Ultrasound-guided pain interventions – a review of techniques for peripheral nerves. Korean J Pain. 2013;26(2):111–24.
Rab M, Ebmer, Dellon AL. Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg. 2001;108(6):1618–23.
Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain. 2003;19(1):48–54.
Giger U, Wente M, Büchler M, Krähenbühl S, Lerut J, Krähenbühl L. Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery. Br J Surg. 2009;96(9):1076–81.
Luijendijk RW, Jeekel J, Storm RK, Schutte PJ, Hop W, Drogendijk AC, et al. The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg. 1997;225(4):365.
Douek M, Smith G, Oshowo A, Stoker D, Wellwood J. Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up. BMJ. 2003;326(7397):1012–3.
Bringman S, Ramel S, Heikkinen T-J, Englund T, Westman B, Anderberg B. Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg. 2003;237(1):142.
Nordin P, Bartelmess P, Jansson C, Svensson C, Edlund G. Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice. Br J Surg. 2002;89(1):45–9.
Vrijland W, van Den Tol M, Luijendijk R, Hop W, Busschbach J, de Lange D, et al. Randomized clinical trial of non‐mesh versus mesh repair of primary inguinal hernia. Br J Surg. 2002;89(3):293–7.
Eichenberger U, Greher M, Kirchmair L, Curatolo M, Moriggl B. Ultrasound-guided blocks of the ilioinguinal and iliohypogastric nerve: accuracy of a selective new technique confirmed by anatomical dissection. Br J Anaesth. 2006;97(2):238–43.
Bischoff JM, Koscielniak-Nielsen ZJ, Kehlet H, Werner MU. Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial. Anesth Analg. 2012;114(6):1323–9.
Kehlet H, Jensen TS, Woolf CJ. Persistent postsurgical pain: risk factors and prevention. Lancet. 2006;367(9522):1618–25.
Fanelli RD, DiSiena MR, Lui FY, Gersin KS. Cryoanalgesic ablation for the treatment of chronic postherniorrhaphy neuropathic pain. Surg Endosc. 2003;17(2):196–200.
Hakeem A, Shanmugam V. Current trends in the diagnosis and management of post-herniorraphy chronic groin pain. World J Gastrointest Surg. 2011;3(6):73–81.
Kastler A, Aubry S, Piccand V, Hadjidekov G, Tiberghien F, Kastler B. Radiofrequency neurolysis versus local nerve infiltration in 42 patients with refractory chronic inguinal neuralgia. Pain Physician. 2012;15(3):237–44.
Mitra R, Zeighami A, Mackey S. Pulsed radiofrequency for the treatment of chronic ilioinguinal neuropathy. Hernia. 2007;11(4):369–71.
Rozen D, Ahn J. Pulsed radiofrequency for the treatment of ilioinguinal neuralgia after inguinal herniorrhaphy. Mt Sinai J Med N Y. 2006;73(4):716–8.
Rozen D, Parvez U. Pulsed radiofrequency of lumbar nerve roots for treatment of chronic inguinal herniorraphy pain. Pain Physician. 2006;9(2):153–6.
Makharita MY, Amr YM. Pulsed radiofrequency for chronic inguinal neuralgia. Pain Physician. 2015;18(2):E147–55.
Rosendal F, Moir L, de Pennington N, Green AL, Aziz TZ. Successful treatment of testicular pain with peripheral nerve stimulation of the cutaneous branch of the ilioinguinal and genital branch of the genitofemoral nerves. Neuromodulation. 2013;16(2):121–4.
Banh DP, Moujan PM, Haque Q, Han TH. Permanent implantation of peripheral nerve stimulator for combat injury-related ilioinguinal neuralgia. Pain Physician. 2013;16(6):E789–91.
Elahi F, Reddy C, Ho D. Ultrasound guided peripheral nerve stimulation implant for management of intractable pain after inguinal herniorrhaphy. Pain Physician. 2015;18(1):E31–8.
Zacest AC, Magill ST, Anderson VC, Burchiel KJ. Long-term outcome following ilioinguinal neurectomy for chronic pain. J Neurosurg. 2010;112(4):784–9.
Hahn L. Treatment of ilioinguinal nerve entrapment – a randomized controlled trial. Acta Obstet Gynecol Scand. 2011;90(9):955–60.
Rosario DJ, Jacob S, Luntley J, Skinner PP, Raftery AT. Mechanism of femoral nerve palsy complicating percutaneous ilioinguinal field block. Br J Anaesth. 1997;78(3):314–6.
Johr M, Sossai R. Colonic puncture during ilioinguinal nerve block in a child. Anesth Analg. 1999;88(5):1051–2.
Vaisman J. Pelvic hematoma after an ilioinguinal nerve block for orchialgia. Anesth Analg. 2001;92:1048–9.
Hibner M, Desai N, Robertson LJ, Nour M. Pudendal neuralgia. J Minim Invasive Gynecol. 2010;17(2):148–53.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Physical exam of the ilioinguinal nerve (MOV 69110 kb)
Landmark-guided injection of the ilioinguinal nerve (MOV 58145 kb)
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Murinova, N., Krashin, D., Trescot, A.M. (2016). Ilioinguinal Nerve Entrapment: Pelvic. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_44
Download citation
DOI: https://doi.org/10.1007/978-3-319-27482-9_44
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-27480-5
Online ISBN: 978-3-319-27482-9
eBook Packages: MedicineMedicine (R0)