1. Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach
- Author
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V. Schiavone, C. M. Muto, R. Galardo, S. Scarpelli, N. Pedana, and G. Guida
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Hernia, Inguinal ,Neurosurgical Procedures ,Genitofemoral nerve ,Pelvis ,medicine ,Humans ,Retroperitoneal space ,Hernia ,Retroperitoneal Space ,Laparoscopy ,Digestive System Surgical Procedures ,medicine.diagnostic_test ,business.industry ,Nerve Compression Syndromes ,Neurectomy ,medicine.disease ,Hernia repair ,Hernia, Femoral ,Surgery ,Nerve compression syndrome ,medicine.anatomical_structure ,Neuralgia ,business - Abstract
Inguinal neuralgia after open and laparoscopic hernia, repair occurs in about 0.5% of treated patients. If the pain and the functional inability persist, it is possible that the genitofemoral nerve and ileoinguinal nerve are involved in entrapment, and surgical treatment is a possible option. This paper reports a personal endoscopic retroperitoneal approach for ileoinguinal and genitofemoral branches neurectomy.A 12-mm trocar is inserted into the lower retroperitoneum and insufflated to create a work space. Neurectomy is performed under endoscopic guidance.Six patients were treated using this technique. The operating time was 55 min, and all patients were completely pain-free after surgery. All patients were discharged the first day after operation and there were no complications.This retroperitoneal endoscopic approach is proposed as a new surgical technique for treating inguinal entrapment neuralgia. It is simple and feasible. more...
- Published
- 2005
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