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The ilioinguinal nerve is clinically important when considering an ilioinguinal or iliohypogastric nerve block. The indications for nerve block include anaesthesia for procedures involving the abdominal region such as inguinal herniorrhaphy or pain relief for procedures such as a caesarean section. Ropivacaine is an example of the anaesthetic ...
Complications from this procedure include bleeding and infection. The ilioinguinal nerve which runs anterior to the spermatic cord may be damaged during the operation and cause numbness over the inner thigh or chronic groin and scrotal pain. Other symptoms also include intermittent and chronic back pain and sudden loss of mobility in the lower ...
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
The anterior scrotal nerves are branches of the ilioinguinal nerve. The nerves innervates the scrotum in males. The equivalent nerves in the female are the anterior labial nerves .
The cremasteric reflex may be absent with testicular torsion, upper and lower motor neuron disorders, as well as a spine injury of L1-L2. It can also occur if the ilioinguinal nerve has accidentally been cut during a hernia repair. [4] The cremasteric reflex can be helpful in recognizing testicular emergencies.
Nerve block or regional nerve blockade is any deliberate interruption of signals traveling along a nerve, often for the purpose of pain relief. Local anesthetic nerve block (sometimes referred to as simply "nerve block") is a short-term block, usually lasting hours or days, involving the injection of an anesthetic, a corticosteroid, and other agents onto or near a nerve.
The sensory fibers stimulate the motor fibers of the genital branch of the genitofemoral nerve (also at spinal level L1), which provides innervation to the cremaster muscles causing the contraction of the muscle and elevation of the testes. This causes the cremaster muscle on the same side to rapidly contract, raising the testicle. [6]
No treatment modality prior to neurectomy (e.g. systemic medications, cryoablation, therapeutic nerve blocks, and radioablation) has given effective pain relief and none have been curative. [19] The success outcome is typically measured as a 50% or more decrease in visual analog scale (VAS) scores, which are numerical pain scores from 0 - 10 or ...