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Surgical Endoscopy

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01-07-2005 | Original article

Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach

Authors: C. M. Muto, N. Pedana, S. Scarpelli, R. Galardo, G. Guida, V. Schiavone

Published in: Surgical Endoscopy | Issue 7/2005

Abstract

Background

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.

Methods

A 12-mm trocar is inserted into the lower retroperitoneum and insufflated to create a work space. Neurectomy is performed under endoscopic guidance.

Results

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.

Conclusion

This retroperitoneal endoscopic approach is proposed as a new surgical technique for treating inguinal entrapment neuralgia. It is simple and feasible.

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Title: Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach
Authors: C. M. Muto
N. Pedana
S. Scarpelli
R. Galardo
G. Guida
V. Schiavone
Publication date: 01-07-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 7/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2007-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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