Inguinal neurectomy for nerve entrapment after open/laparoscopic hernia repair using retroperitoneal endoscopic approach.
BACKGROUND
Inguinal neuralgia after open and laparoscopic hernia, repair occurs in about 0.5% of treated patients. If the pain and the functional inability persist, it is possible that the genitofemoral nerve and ileoinguinal nerve are involved in entrapment, and surgical treatment is a possible option. This paper reports a personal endoscopic retroperitoneal approach for ileoinguinal and genitofemoral branches neurectomy.


METHODS
A 12-mm trocar is inserted into the lower retroperitoneum and insufflated to create a work space. Neurectomy is performed under endoscopic guidance.


RESULTS
Six patients were treated using this technique. The operating time was 55 min, and all patients were completely pain-free after surgery. All patients were discharged the first day after operation and there were no complications.


CONCLUSIONS
This retroperitoneal endoscopic approach is proposed as a new surgical technique for treating inguinal entrapment neuralgia. It is simple and feasible.
Muto
C M
CM
Operative Unit of Laparoscopic and Mini-Invasive Surgery, Clinica Pineta Grande, Via Domitiana, 81030, Castel Volturno, CE, Italy. pglaparomuto@virgilio.it
Pedana
N
N
Scarpelli
S
S
Galardo
R
R
Guida
G
G
Schiavone
V
V
D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods; D010388:Pelvis / Q000294:innervation; D012187:Retroperitoneal Space