Fig. 1.

Image of the left groin in a female patient with chronic inguinal neuropathic pain due to an ilioinguinal neuroma after laparoscopy. The patient underwent left groin exploration, and the discovered neuroma in-continuity of the ilioinguinal nerve was excised and reconstructed with a nerve allograft. The patient's pain initially improved, but then returned and became intolerable. At re-exploration 1 year after her allograft procedure, a neuroma was found at the proximal coaptation of the nerve allograft site. The motor nerve to the internal oblique is seen as a small transverse white structure that stimulated easily and is touching the upper right corner of the yellow background. Please see video (Video 1, Intraoperative video demonstrating direct nerve stimulation of the motor nerve to the internal oblique) accompanying this image which demonstrates intraoperative nerve stimulation of the motor nerve to the internal oblique.