[The ramus genitalis syndrome following hernia repair. A clinical study concerning its preventability].
Postoperative chronic inguinal pain was studied in 460 patients who underwent Shouldice repairs. A follow-up investigation (91.9%) found a reduced incidence of chronic inguinal pain by preparing the genital branch of the genito-femoral nerve and severing it if necessary. By proceeding in this fashion, the incidence of inguinal entrapment syndromes can be reduced below 2% without influencing the early postoperative complication rate (5.5% and 6.7%) or the recurrence rate (0.5% and 0.96%). Compared with the ilio-inguinalis syndrome the ramus genitalis syndrome is an important cause of chronic inguinodynia after hernia repair.
Töns
C
C
Chirurgische Klinik, Medizinischen Fakultät, RWTH Aachen.
Schumpelick
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V
D005835:Genitalia / Q000294:innervation; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010149:Postoperative Pain / Q000209:etiology*; D010525:Peripheral Nerves / Q000601:surgery
Das Ramus-genitalis-Syndrom nach Hernienreparation. Eine klinische Studie zur Frage der Vermeidbarkeit.