News Feed Discussions Hernia Discussion Shouldice Prophylactic Neurectomy

  • Shouldice Prophylactic Neurectomy

    Posted by John on March 19, 2024 at 3:59 pm

    Wondering if this is standard protocol for any groin area nerves in particular the genitofemoral one.

    John replied 3 weeks, 2 days ago 2 Members · 2 Replies
  • 2 Replies
  • drtowfigh

    March 19, 2024 at 4:15 pm

    The standard for most hernia repairs is not to touch or cut any nerves. With the modified Shouldice repair by the Shouldice Clinic, they have considered cremaster muscle resection (to reduce the hernia recurrence from the originally described Shouldice technique) and thus genital branch neurectomy as their common practice. With other open operations, many surgeons commonly cut the ilioinguinal nerve.

    • John

      March 19, 2024 at 8:43 pm

      Thank you, Dr. Towfigh. So the purpose would be more towards preventing recurrence vs avoiding neuralgia from disturbing or damaging this nerve?

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