Treatment of genitofemoral neuralgia after laparoscopic inguinal herniorrhaphy with fluoroscopically guided tack injection.
OBJECTIVE
This report illustrates that genitofemoral neuralgia can result from laparoscopic inguinal herniorrhaphy and offers a management strategy for this pain syndrome.


METHODS
A patient experienced pain in the distribution of the genitofemoral nerve after laparoscopic herniorrhaphy. Under fluoroscopy, the point of maximal tenderness was elicited and was found to be at the site of a surgical tack placed during the hernia repair. A genitofemoral nerve block was performed at the site of the surgical tack. This resulted in complete resolution of pain symptoms.


RESULTS
The patient's treatment and recovery are described.


CONCLUSIONS
Recognition and proper diagnosis of genitofemoral neuralgia after laparoscopic herniorrhaphy may result in appropriate therapy and hasten recovery.
Rho
R H
RH
Department of Anesthesiology and Pain Management, May Clinic, Jacksonville, Florida, USA. rho.richard@mayo.edu
Lamer
T J
TJ
Fulmer
J T
JT