scholarly journals AB159. Femoral nerve palsy post open inguinal hernia repair—case report and literature review

2020 ◽  
Vol 4 ◽  
pp. AB159-AB159
Author(s):  
Mohamed Salama ◽  
Wael Shabo ◽  
Chaudary Shahbaz
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Literature Review ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Femoral Nerve Palsy ◽  
Open Inguinal Hernia Repair

scholarly journals P102 FEMORAL NERVE PALSY POST OPEN INGUINAL HERNIA REPAIR - CASE REPORT AND LITERATURE REVIEW

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Mohamed Salama ◽  
Mahmoud Salama ◽  
c. shabaz ◽  
Himanshu Yadav
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Nerve Block ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Ilioinguinal Nerve ◽  
Open Mesh Repair ◽  
Femoral Nerve Palsy

Abstract Aim and Introduction “Inguinal hernia repair is one of the most common surgical procedures performed worldwide. Postoperative pain control is very important and recently nerve block has gained popularity as an alternative to opioid use. Transient femoral nerve palsy (TNFP) is a potential complication of ilioinguinal nerve block, but it is extremely rare with only a few cases reported. We discuss a case of TNFP post-left inguinal hernia repair to highlight this rare complication.” Material and Methods “Case Report: A 17-year-old male with clinically and radiologically confirmed left inguinal hernia underwent open mesh repair (Lichtenstein repair). At the end of the procedure, he had ilioinguinal and iliohypogastric nerve block (10ml, 0.5% bupivacaine). In the recovery room, he developed numbness of his anteromedial aspect of his left thigh with weakness of hip flexion and paralysis of quadriceps with an inability to extend his knee. He was reviewed by the anaesthetic team and was admitted overnight. His symptoms resolved spontaneously within 18 hours. He was subsequently discharged and followed up in the surgical OPD 2 weeks, 6 weeks and 6 months later and there were no residual neurological symptoms.” Results and Conclusion “TNFP post open hernia repair is very rare. Mechanisms of femoral nerve injury include suturing, stapling, scar tissue entrapment or direct compression. Careful attention is needed to the technique of local anaesthesia post-operatively (avoid deep infiltration, lowest volume and concentration used, ultrasound use) to avoid potential morbidity if this complication is not recognised.”

scholarly journals Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge

2016 ◽  
Vol 3 ◽  
pp. 127-136 ◽  
Author(s):  
Mateusz T. Zamkowski ◽  
Wojciech Makarewicz ◽  
Jerzy Ropel ◽  
Maciej Bobowicz ◽  
Michał Kąkol ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Literature Review ◽  
Hernia Repair ◽  
Antibiotic Prophylaxis ◽  
Inguinal Hernia Repair ◽  
Current Knowledge ◽  
Open Inguinal Hernia Repair
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