The Genitofemoral nerve originates from the ventral rami of L1-L2. Its injury is uncommon in benign minimally invasive gynecologic surgery.
However, when there is distorted anatomy due to adhesions or severe endometriosis, the risk of injury is higher. Therefore, it is important to recognize the anatomical landmarks early in the surgery to prevent injury.
In this video, the genitofemoral nerve location, innervation, and mechanisms of injury will be reviewed. The points will be illustrated by demonstrating dissection of this nerve in a case with significant adhesions.