Testicular pain after inguinal hernia repair: an approach to resection of the genital branch of genitofemoral nerve Ivica Ducic, MD, PhD, A Lee Dellon,

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Presentation transcript:

Testicular pain after inguinal hernia repair: an approach to resection of the genital branch of genitofemoral nerve Ivica Ducic, MD, PhD, A Lee Dellon, MD Journal of the American College of Surgeons Volume 198, Issue 2, Pages 181-184 (February 2004) DOI: 10.1016/j.jamcollsurg.2003.09.025

Figure 1 Posterolateral location of the genital branch of the genitofemoral nerve (held by retraction) in relation to the spermatic cord. Note that ilioinguinal nerve (held by scalpel blade) is located superficial to the cremaster muscle and superior to the spermatic cord (left side of specimen). Journal of the American College of Surgeons 2004 198, 181-184DOI: (10.1016/j.jamcollsurg.2003.09.025)

Figure 2 (A) A 65-year-old patient with scar from open inguinal hernia repair (1), resection of ilioinguinal nerve (2), and suprapubic resection of genital branch of the genitofemoral nerve (3). (B) Intraoperative view of genital branch of the genitofemoral nerve caught with Ethibond suture (split nerve segment held between two vascular loops). Journal of the American College of Surgeons 2004 198, 181-184DOI: (10.1016/j.jamcollsurg.2003.09.025)

Figure 3 Resected genital branch of the genitofemoral nerve with ingrown mesh in patient after laparoscopic hernia repair (clamp is at distal nerve end). Journal of the American College of Surgeons 2004 198, 181-184DOI: (10.1016/j.jamcollsurg.2003.09.025)

Figure 4 Dominant ilioinguinal nerve (held by vascular loop) giving contribution to genital branch of the genitofemoral nerve (clamp holding resected genital branch of the genitofemoral nerve with contributing ilioinguinal branch). Journal of the American College of Surgeons 2004 198, 181-184DOI: (10.1016/j.jamcollsurg.2003.09.025)