[Epidural neurostimulation for chronic pain following abdominal hernia repair].
We report the case of a patient presenting with midline abdominal herniation treated surgically followed by progressively growing abdominal pain resistant to conventional pain treatments. Epidural neurostimulation finally gave satisfactory results. We suggest that epidural neurostimulation can be a valuable tool in treating carefully selected patients with otherwise intractable pain. It is essential to rule out any local complication and to check that conventional analgesia is ineffective, that the psychiatric evaluation is satisfactory and that TENS provides a benefit in pain control. To our knowledge this is to be the first report of epidural neurostimulation for the treatment of chronic pain following repair of midline herniation.
Fransen
P
P
Services de neurochirurgie et d'anesthésie, centre hospitalier Iris-Sud, Etterbeek-Ixelles, Bruxelles, Belgique. p.fransen@neurobrussels.be
Deltell
A
A
D015746:Abdominal Pain / Q000628:therapy*; D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D046449:Hernia, Abdominal / Q000601:surgery*; D006801:Humans; D006941:Hyperesthesia / Q000628:therapy; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000628:therapy*; D019736:Prostheses and Implants; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods