The Experts below are selected from a list of 72 Experts worldwide ranked by ideXlab platform
R H Fortelny - One of the best experts on this subject based on the ideXlab platform.
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the Inguinal region revisited the surgical point of view an anatomical surgical mapping and sonographic approach regarding postoperative chronic groin pain following open hernia repair
Hernia, 2020Co-Authors: Marko Konschake, Marit Zwierzina, Bernhard Moriggl, R Fugger, F Mayer, W Brunner, T Schmid, David C Chen, R H FortelnyAbstract:Inguinodynia or chronic post-herniorrhaphy pain, defined as pain lasting longer than 3 months after open Inguinal hernia repair, has become the most important complication after Inguinal surgery and therefore compromises the patient´s quality of life. A major reason for inguinodynia might be the lack of neuroanatomical knowledge and suboptimal “management” of the nerves duRing surgery. We present a detailed neuroanatomic mapping of the Inguinal region by dissection including the most important surgical landmarks with all nerves confirmed by immunohistochemistry, ultrasound guided visualization of the iliohypogastric, ilio-Inguinal, and genital branch of the genitofemoral nerve, and a practical (preoperative) algorithm for clinical management. Surgically and ultrasonographically relevant structures (“landmarks”) in open hernia repair are the anterior–superior iliac spine, pubic tubercle, Camper´s fascia (Superficial layer of the Superficial abdominal fascia), External oblique aponeurosis, Internal oblique muscle, Transversus abdominis muscle, Superficial Inguinal Ring, external spermatic fascia, cremasteric fascia with cremaster muscle fibers, internal spermatic fascia, cremasteric vein (=external spermatic vein = “blue line”), ductus deferens, pampiniform plexus, Inguinal ligament and the inferior epigastric vessels. A detailed understanding of Inguinal anatomy is an indispensable basic requirement for all surgeons to perform Inguinal ultrasonography as well as open Inguinal hernia repair, avoiding complications, especially postoperative inguinodynia.
Marko Konschake - One of the best experts on this subject based on the ideXlab platform.
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the Inguinal region revisited the surgical point of view an anatomical surgical mapping and sonographic approach regarding postoperative chronic groin pain following open hernia repair
Hernia, 2020Co-Authors: Marko Konschake, Marit Zwierzina, Bernhard Moriggl, R Fugger, F Mayer, W Brunner, T Schmid, David C Chen, R H FortelnyAbstract:Inguinodynia or chronic post-herniorrhaphy pain, defined as pain lasting longer than 3 months after open Inguinal hernia repair, has become the most important complication after Inguinal surgery and therefore compromises the patient´s quality of life. A major reason for inguinodynia might be the lack of neuroanatomical knowledge and suboptimal “management” of the nerves duRing surgery. We present a detailed neuroanatomic mapping of the Inguinal region by dissection including the most important surgical landmarks with all nerves confirmed by immunohistochemistry, ultrasound guided visualization of the iliohypogastric, ilio-Inguinal, and genital branch of the genitofemoral nerve, and a practical (preoperative) algorithm for clinical management. Surgically and ultrasonographically relevant structures (“landmarks”) in open hernia repair are the anterior–superior iliac spine, pubic tubercle, Camper´s fascia (Superficial layer of the Superficial abdominal fascia), External oblique aponeurosis, Internal oblique muscle, Transversus abdominis muscle, Superficial Inguinal Ring, external spermatic fascia, cremasteric fascia with cremaster muscle fibers, internal spermatic fascia, cremasteric vein (=external spermatic vein = “blue line”), ductus deferens, pampiniform plexus, Inguinal ligament and the inferior epigastric vessels. A detailed understanding of Inguinal anatomy is an indispensable basic requirement for all surgeons to perform Inguinal ultrasonography as well as open Inguinal hernia repair, avoiding complications, especially postoperative inguinodynia.
J Dietl - One of the best experts on this subject based on the ideXlab platform.
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ilioInguinal nerve entrapment after tension free vaginal tape tvt procedure
International Urogynecology Journal, 2002Co-Authors: K Geis, J DietlAbstract:The anatomy of the ilioInguinal nerve makes it vulnerable to entrapment near its exit from the Superficial Inguinal Ring, where it lies almost directly superior to the pubic tubercle. IlioInguinal nerve entrapment is a documented complication of Inguinal herniorrhaphy, Inguinal lymph node dissection, appendectomy, Pfannenstiel incision and the needle suspension procedure. It has not previously been described as a complication of the tension-free vaginal tape (TVT) procedure, which is the most recent technique for the treatment of genuine urinary stress incontinence. This paper describes a clinical history to illustrate the diagnosis and management of ilioInguinal nerve entrapment occuRing as a complication of tension-free vaginal tape procedure.
W Brunner - One of the best experts on this subject based on the ideXlab platform.
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the Inguinal region revisited the surgical point of view an anatomical surgical mapping and sonographic approach regarding postoperative chronic groin pain following open hernia repair
Hernia, 2020Co-Authors: Marko Konschake, Marit Zwierzina, Bernhard Moriggl, R Fugger, F Mayer, W Brunner, T Schmid, David C Chen, R H FortelnyAbstract:Inguinodynia or chronic post-herniorrhaphy pain, defined as pain lasting longer than 3 months after open Inguinal hernia repair, has become the most important complication after Inguinal surgery and therefore compromises the patient´s quality of life. A major reason for inguinodynia might be the lack of neuroanatomical knowledge and suboptimal “management” of the nerves duRing surgery. We present a detailed neuroanatomic mapping of the Inguinal region by dissection including the most important surgical landmarks with all nerves confirmed by immunohistochemistry, ultrasound guided visualization of the iliohypogastric, ilio-Inguinal, and genital branch of the genitofemoral nerve, and a practical (preoperative) algorithm for clinical management. Surgically and ultrasonographically relevant structures (“landmarks”) in open hernia repair are the anterior–superior iliac spine, pubic tubercle, Camper´s fascia (Superficial layer of the Superficial abdominal fascia), External oblique aponeurosis, Internal oblique muscle, Transversus abdominis muscle, Superficial Inguinal Ring, external spermatic fascia, cremasteric fascia with cremaster muscle fibers, internal spermatic fascia, cremasteric vein (=external spermatic vein = “blue line”), ductus deferens, pampiniform plexus, Inguinal ligament and the inferior epigastric vessels. A detailed understanding of Inguinal anatomy is an indispensable basic requirement for all surgeons to perform Inguinal ultrasonography as well as open Inguinal hernia repair, avoiding complications, especially postoperative inguinodynia.
David C Chen - One of the best experts on this subject based on the ideXlab platform.
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the Inguinal region revisited the surgical point of view an anatomical surgical mapping and sonographic approach regarding postoperative chronic groin pain following open hernia repair
Hernia, 2020Co-Authors: Marko Konschake, Marit Zwierzina, Bernhard Moriggl, R Fugger, F Mayer, W Brunner, T Schmid, David C Chen, R H FortelnyAbstract:Inguinodynia or chronic post-herniorrhaphy pain, defined as pain lasting longer than 3 months after open Inguinal hernia repair, has become the most important complication after Inguinal surgery and therefore compromises the patient´s quality of life. A major reason for inguinodynia might be the lack of neuroanatomical knowledge and suboptimal “management” of the nerves duRing surgery. We present a detailed neuroanatomic mapping of the Inguinal region by dissection including the most important surgical landmarks with all nerves confirmed by immunohistochemistry, ultrasound guided visualization of the iliohypogastric, ilio-Inguinal, and genital branch of the genitofemoral nerve, and a practical (preoperative) algorithm for clinical management. Surgically and ultrasonographically relevant structures (“landmarks”) in open hernia repair are the anterior–superior iliac spine, pubic tubercle, Camper´s fascia (Superficial layer of the Superficial abdominal fascia), External oblique aponeurosis, Internal oblique muscle, Transversus abdominis muscle, Superficial Inguinal Ring, external spermatic fascia, cremasteric fascia with cremaster muscle fibers, internal spermatic fascia, cremasteric vein (=external spermatic vein = “blue line”), ductus deferens, pampiniform plexus, Inguinal ligament and the inferior epigastric vessels. A detailed understanding of Inguinal anatomy is an indispensable basic requirement for all surgeons to perform Inguinal ultrasonography as well as open Inguinal hernia repair, avoiding complications, especially postoperative inguinodynia.