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

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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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Authors and Affiliations

  1. Operative Unit of Laparoscopic and Mini-Invasive Surgery, Clinica Pineta Grande, Via Domitiana, km 30, 81030, Castel Volturno, CE, Italy

    C. M. Muto, N. Pedana, G. Guida & V. Schiavone

  2. Anesthesiology Service, Clinica Pineta Grande, via Domitiana, km 30, 81030, Castel Volturno, CE, Italy

    S. Scarpelli & R. Galardo

Authors
  1. C. M. Muto
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  2. N. Pedana
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  3. S. Scarpelli
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  4. R. Galardo
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  5. G. Guida
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  6. V. Schiavone
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Correspondence to C. M. Muto.

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Muto, C.M., Pedana, N., Scarpelli, S. et al. Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach. Surg Endosc 19, 974–976 (2005). https://doi.org/10.1007/s00464-004-2007-8

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  • DOI: https://doi.org/10.1007/s00464-004-2007-8

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