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Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note

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Abstract

Background

Painful neuromas are a relatively common complication of hernia and abdominal wall surgery.

Objective

Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative.

Methods

In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot.

Results

This approach was facile and provided elegant anatomical visualization.

Conclusion

This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.

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Conflicts of interest

None.

Author information

Correspondence to Mark A. Mahan.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Operative video from a robot-assisted laproscopic transperitoneal triple neurectomy. Anatomical identification of the relevant nerves are depicted. Used with permission from Barrow Neurological Institute. (MPEG 86228 kb)

Video 1

Operative video from a robot-assisted laproscopic transperitoneal triple neurectomy. Anatomical identification of the relevant nerves are depicted. Used with permission from Barrow Neurological Institute. (MPEG 86228 kb)

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Mahan, M.A., Kader, A.K. & Brown, J.M. Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note. Acta Neurochir 156, 171–175 (2014) doi:10.1007/s00701-013-1857-z

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Keywords

  • Robotic
  • Neurectomy
  • Pain
  • Ilioinguinal
  • Iliohypogastric
  • Genitofemoral