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Triple Neurectomy Versus Selective Neurectomy

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The SAGES Manual of Groin Pain

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Abstract

Severe chronic pain is a major complication in 2–4 % of patients after groin hernia repair. Persistent postherniorrhaphy pain affects everyday activities in 5–8 % of patients. Surgery with neurectomy of the inguinal nerves is considered to be the last treatment option. A recent comprehensive review shows good results with rates of pain relief after neurectomy of 87 % (range 30–100 %). After a triple neurectomy, the outcome seems to be even better with a success rate of 98 %. However, the level of evidence is moderate or low.

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Author information

Authors and Affiliations

  1. Department of Surgery and Hernia Center, Gross Sand Hospital Hamburg Teaching Hospital of the University of Hamburg, Gross-Sand 3, Hamburg, D-21107, Germany

    Wolfgang M. J. Reinpold M.D. & Alexander D. Schroeder M.D.

Authors
  1. Wolfgang M. J. Reinpold M.D.
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  2. Alexander D. Schroeder M.D.
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Corresponding author

Correspondence to Wolfgang M. J. Reinpold M.D. .

Editor information

Editors and Affiliations

  1. Mount Sinai School of Medicine, Laparoscopic Surgical Center of New York, New York, New York, USA

    Brian P. Jacob

  2. Division of General Surgery, Lichtenstein Amid Hernia Clinic at UCLA, Santa Monica, California, USA

    David C. Chen

  3. FSU College of Medicine, Advanced Hernia Solutions, Daytona Beach, Florida, USA

    Bruce Ramshaw

  4. Beverly Hills Hernia Center, Beverly Hills, California, USA

    Shirin Towfigh

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© 2016 Springer International Publishing Switzerland

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Reinpold, W.M.J., Schroeder, A.D. (2016). Triple Neurectomy Versus Selective Neurectomy. In: Jacob, B., Chen, D., Ramshaw, B., Towfigh, S. (eds) The SAGES Manual of Groin Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-21587-7_31

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  • DOI: https://doi.org/10.1007/978-3-319-21587-7_31

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21586-0

  • Online ISBN: 978-3-319-21587-7

  • eBook Packages: MedicineMedicine (R0)

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