Directed neurectomy for treatment of chronic postsurgical neuropathic pain - 16/02/13
Abstract |
Background |
Chronic neurogenic pain after surgery, especially inguinal herniorrhaphy, remains a major cause of morbidity. The traditional treatment of postinguinal herniorrhaphy neurogenic pain has included triple neurectomy with the removal of any mesh. This report describes a directed, minimally invasive surgical neurectomy that provided pain relief in 28 patients with minimal morbidity.
Methods |
After temporary but successful proximal peripheral nerve blockade, the nerve was blocked in the operating room using a small amount of blue dye mixed with the local anesthetic. After confirming pain relief with the dye-anesthetic mixture, the patient was then sedated, and all blue-stained tissue was excised through a small incision, avoiding both the previous surgical scar and mesh.
Results |
All but 1 of the 28 patients had complete relief for a minimum of 12 months when discharged from follow-up.
Conclusions |
This simple directed neurectomy method typically provides long-term relief for patients suffering from chronic postsurgical neurogenic pain.
Le texte complet de cet article est disponible en PDF.Keywords : Neuropathic pain, Inguinal herniorrhaphy, Ilioinguinal nerve, Genitofemoral nerve, Neurectomy, Inguinodynia
Plan
The authors declare no conflicts of interest. |
Vol 205 - N° 3
P. 246-249 - mars 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?