title: [The ramus genitalis syndrome following hernia repair. A clinical study concerning its preventability].
abstract: 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.
authors.affiliation: Chirurgische Klinik, Medizinischen Fakultät, RWTH Aachen.
authors.forename: C
authors.initials: C
authors.lastname: Töns
authors.forename: V
authors.initials: V
authors.lastname: Schumpelick
mesh_terms: 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
vernacular_title: Das Ramus-genitalis-Syndrom nach Hernienreparation. Eine klinische Studie zur Frage der Vermeidbarkeit.