The surgical anatomy of the lateral femoral cutaneous nerve in the inguinal region: a meta-analysisReport as inadecuate

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, Volume 20, Issue 5, pp 649–657

First Online: 26 April 2016Received: 26 January 2016Accepted: 13 April 2016


PurposeSeveral variations in the anatomy and injury of the lateral femoral cutaneous nerve LFCN have been studied since 1885. The aim of our study was to analyze the available data on the LFCN and find a true prevalence to help in the planning and execution of surgical procedures in the area of the pelvis, namely inguinal hernia repair.

MethodsA search of the major medical databases was performed for LFCN anatomy. The anatomical data were collected and analyzed.

ResultsTwenty-four studies n = 1,720 were included. The most common pattern of the LFCN exiting the pelvis was medial to the Sartorius as a single branch. When it exited in this pattern, it did so on average 1.90 cm medial to the anterior superior iliac spine ASIS.

ConclusionsThe LFCN and its variations are important to consider especially during inguinal hernia repair, abdominoplasty, and iliac bone grafting. We suggest maintaining a distance of 3 cm or more from the ASIS when operating to prevent injury to the LFCN.

KeywordsLateral femoral cutaneous nerve Variations Anatomy Meta-analysis K.A. Tomaszewski and P. Popieluszko contributed equally to this study.

Electronic supplementary materialThe online version of this article doi:10.1007-s10029-016-1493-7 contains supplementary material, which is available to authorized users.

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Author: K. A. Tomaszewski - P. Popieluszko - B. M. Henry - J. Roy - B. Sanna - M. R. Kijek - J. A. Walocha


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