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Hernia

, Volume 22, Issue 3, pp 507–516 | Cite as

Anterior cutaneous nerve entrapment syndrome (ACNES)

  • M. R. ScheltingaEmail author
  • R. M. RoumenEmail author
Review

Abstract

The abdominal wall is frequently overlooked as a potential source of chronic abdominal pain. In anterior cutaneous nerve entrapment syndrome (ACNES), irritated intercostal nerves cause severe abdominal pain. Current textbooks fail to acknowledge ACNES. Aim of the present review is to provide detailed information on patient history, physical examination, and a three-step treatment protocol including abdominal wall injections and a localized removal of terminal branches of intercostal nerves.

Keywords

Nerve entrapment Neuropathic pain Abdominal wall Neurectomy 

Notes

Author contributions

Both authors, MS and RR, declare that they substantially and equally contributed to the conception and design of the work, revised it both very critically, they both give the final approval of the version to be submitted and published, and they agree to be equally accountable for all aspects of the work.

Compliance with ethical standards

Conflict of interest

Both authors, MS and RR, declare no conflicts of interest.

Ethical approval

This review was performed under compliance with all ethical standards.

Human and animal rights

This article does not contain any study with humans or animals performed by the authors.

Informed consent

Considering the design of this review patient informed consent was not required.

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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of SurgeryMáxima Medical CenterEindhoven/VeldhovenThe Netherlands
  2. 2.SolviMáx DepartmentCenter of Expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin PainEindhoven/VeldhovenThe Netherlands

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