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Purpose: Complications after inguinal hernia repairs, laparoscopic or open are uncommon but well known to surgeons. Since the introduction of laparoscopic herniorraphy several cases of nerve injuries were reported but few of them concerning the femoral nerve.  Case report: The case of a 36 year old female patient is discussed, who suffered from severe pain in the right thigh and the right knee after laparoscopic hernioplasty for a unilateral right inguinal hernia. The surgeons who operated the patients suggested that the symptoms were due to a meniscus lesion and an earlier prolapsed O4-O5 intervertebral disc. The patient referred to our hospital two months later, where she underwent meticulous clinical and laboratory examination. Femoral nerve injury was diagnosed and surgical exploration was performed where the femoral nerve was found stapled and the staple was “unscrewed” from it. Symptoms radically and rapidly improved after the operation.  Conclusion: Good anatomic knowledge and experience is important during laparoscopic inguinal hernia repairs so as to avoid the “danger zone” and thus injuring the nerves of the groin while stapling the mesh. Diagnosis and treatment of nerve injury following laparoscopic inguinal herniorraphy is a difficult and controversial task for the surgeon. We recommend a meticulous clinical and laboratory investigation; these patients should undergo early surgical treatment when and if needed.  Keywords: inguinal hernia, laparoscopic inguinal hernia repair, femoral nerve injury, groin nerve injury

Femoral nerve injury following laparoscopic hernioplasty for inguinal hernia: open exploration of the groin and neurolysis after two months