Les nerfs de la région inguinale : impacts anatomo-cliniques

Abstract

This study investigates the anatomical variations of the iliohypogastric and ilioinguinal nerves in the inguinal region, while exploring their implications in postoperative complications of surgical repairs for inguinal hernias. Through a combined anatomical and clinical approach, it highlights the critical importance of in-depth knowledge of the anatomical landmarks of the inguinal nerves to prevent iatrogenic nerve injuries and improve surgical outcomes. The findings confirm that the Lichtenstein technique, though requiring technical expertise, offers significant advantages in managing acute and chronic pain, as well as enabling a faster return to normal activities. Conversely, AUTOPLASTY techniques, while effective in certain cases, demand more vigilant postoperative management to reduce complications and chronic pain. This analysis also emphasizes the importance of perioperative évaluationand the personalization of technical choices based on the anatomical and clinical characteristics of each patient. It recommends increasing surgeons' awareness of anatomical variations and the systematic integration of techniques aimed at minimizing nerve trauma. In conclusion, the Lichtenstein technique stands out as the surgical approach of choice for inguinal hernias, thanks to its superior outcomes in terms of postoperative comfort and patient satisfaction. However, a tailored strategy for each case remains essential to optimize results and minimize complications.