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Neuralgie des N. genitofemoralis nach Hernioplastik

Therapie durch periphere Nervenstimulation

Neuralgia of the genitofemoral nerve after hernioplasty

Therapy by peripheral nerve stimulation

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Zusammenfassung

Die periphere Nervenstimulation (PNS) hat sich in der Behandlung neuropathischer Schmerzen etabliert. In diesem Fall wird die erfolgreiche epifasziale Stimulation im Bereich des N. genitofemoralis beschrieben. Dieser wurde durch eine endoskopische Hernioplastik alteriert. Es entwickelte sich eine ausgeprägte, therapierefraktäre Genitofemoralisneuropathie, die durch eine permanente PNS mit einer 8-poligen Stabelektrode behandelt wurde. Der Patient beschreibt im Ein-Jahres-Follow-up eine fast 70%ige Schmerzreduktion. Somit stellt die PNS eine Erfolg versprechende Therapieoption bei Neuralgien nach Hernioplastik dar.

Abstract

The peripheral nerve stimulation (PNS) is an established therapy in the management of neuropathic pain. Here, we describe a case of successful epifascial stimulation in the proximity of the genitofemoral nerve, which was injured during an endoscopic hernioplasty. During the following months the patient developed an intense neuropathy of this nerve, which we now treated by permanent PNS with an 8-polar electrode. During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now. In conclusion, PNS is a promising procedure in the treatment of neuralgia after hernioplasty.

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Authors and Affiliations

  1. Klinik für Neurochirurgie, Friedrich-Schiller-Universität, Erlanger Allee 101, 07747, Jena, Deutschland

    J. Walter, R. Reichart, S.A. Kuhn & R. Kalff

  2. Abteilung für Anästhesie und Intensivmedizin, Henneberg-Kliniken, Hildburghausen, Deutschland

    C. Vonderlind

Authors
  1. J. Walter
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  2. R. Reichart
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  3. C. Vonderlind
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  4. S.A. Kuhn
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  5. R. Kalff
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Corresponding author

Correspondence to J. Walter.

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Walter, J., Reichart, R., Vonderlind, C. et al. Neuralgie des N. genitofemoralis nach Hernioplastik. Chirurg 80, 741–744 (2009). https://doi.org/10.1007/s00104-008-1624-5

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  • DOI: https://doi.org/10.1007/s00104-008-1624-5

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