O RECONHECIMENTO ANATÔMICO DA INERVAÇÃO DA REGIÃO INGUINAL DURANTE HERNIOPLASTIA PREVINE A INGUINODINIA? UMA REVISÃO SISTEMÁTICA

Ana Júlia Ribas Sigwalt; Gabriella Micheten Dias; Lívia Dala Déa Ferreira Pocay; Mahara Freitas dos Santos; Tailla Cristina de Oliveira; Marcos Fabiano Sigwalt; Fernando Issamu Tabushi; Leonardo Wanderloff Franco; Fernando Weiss Guerra; Abdo Imad El Tawil; Osvaldo Malafaia

doi:10.1590/SciELOPreprints.9165

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Ana Júlia Ribas Sigwalt Pontifícia Universidade Católica do Paraná
Gabriella Micheten Dias Universidade Positivo
Lívia Dala Déa Ferreira Pocay Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Mahara Freitas dos Santos Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Tailla Cristina de Oliveira Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Marcos Fabiano Sigwalt Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Fernando Issamu Tabushi Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasi
Leonardo Wanderloff Franco Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Fernando Weiss Guerra Hospital Celso Ramos, Florianópolis, SC, Brasil
Abdo Imad El Tawil Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil
Osvaldo Malafaia Instituto Presbiteriano Mackenzie, São Paulo, SP, Brasil https://orcid.org/0000-0002-1829-7071

DOI:

https://doi.org/10.1590/SciELOPreprints.9165

Keywords:

Inguinal hernia, Nerve identification, Inguinodynia, Surgery

Abstract

Introduction: The inguinal canal is a region prone to hernias that may require surgery. Although videosurgery may be less aggressive, the identification of nerve branches is necessary to reduce the incidence of inguinodynia that can occur even with this minimally invasive route.

Objective: To review the incidence and reasons for inguinodynia in laparoscopic surgical procedures for the correction of inguinal hernias.

Method: Systematic review, carried out in the PubMed, BVS and Google Scholar databases from 2018 to 2024, including articles in Portuguese and English. From initial number of 1,758 articles 10 were selected.

Result: The main findings of the research proved that the recognition and proper anatomical identification of the main nerves of the inguinal region during the operation - iliohypogastric, ilioinguinal and genital branch of the genitofemoral - are able to reduce the chances of patients developing chronic pain in the inguinal region after hernioplasty. The surgeon's expertise and experience in avoiding trauma to local nerves guarantees quality of life for patients and reduces their exposure to possible new subsequent interventions to treat inguinodynia.

Conclusion: Prevention is the most important measure when it comes to eradicating inguinodynia. Therefore, the professional must have sufficient knowledge of the most frequent topography of the passage of the main nerves and their branches to avoid iatrogenic injuries