Dermatome Mapping Test in the analysis of anatomo-clinical correlations after inguinal hernia repair
- PDF / 1,410,816 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 23 Downloads / 184 Views
RESEARCH ARTICLE
Open Access
Dermatome Mapping Test in the analysis of anatomo‑clinical correlations after inguinal hernia repair Roberto Cirocchi1,2, Isabella Mercurio1,2*, Claudio Nazzaro2,3, Angelo De Sol2,3, Carlo Boselli1,2, George Rettagliata4, Nicola Vanacore5, Alberto Santoro2,6, Domenico Mascagni2,6, Claudio Renzi1,2, Massimo Lancia1,2, Fabio Suadoni1,2, Guido Zanghì2,7, Piergaspare Palumbo2,6, Paolo Bruzzone2,8, Guglielmo Tellan2,9, Piergiorgio Fedeli2,10, Francucci Marsilio2,3 and Vito D’Andrea2,6
Abstract Background: Nerve identification is recommended in inguinal hernia repair to reduce or avoid postoperative pain. The aim of this prospective observational study was to identify nerve prevalence and find a correlation between neuroanatomy and chronic neuropathic postoperative inguinal pain (CPIP) after 6 months. Material: A total of 115 patients, who underwent inguinal hernia mesh repair (Lichtenstein tension-free mesh repair) between July 2018 and January 2019, were included in this prospective observational study. The mean age and BMI respectively resulted 64 years and 25.8 with minimal inverse distribution of BMI with respect to age. Most of the hernias were direct (59.1%) and of medium dimension (47.8%). Furthermore, these patients were undergoing Dermatome Mapping Test in preoperatively and postoperatively 6 months evaluation. Results: Identification rates of the iliohypogastric (IH), ilioinguinal (II) and genitofemoral (GF) nerves were 72.2%, 82.6% and 48.7% respectively. In the analysis of nerve prevalence according to BMI, the IH was statistically significant higher in patients with BMI
Data Loading...
