[Neuralgia of the genitofemoral nerve after hernioplasty. Therapy by peripheral nerve stimulation].
The peripheral nerve stimulation (PNS) is an established therapy in the management of neuropathic pain. Here, we describe a case of successful epifascial stimulation in the proximity of the genitofemoral nerve, which was injured during an endoscopic hernioplasty. During the following months the patient developed an intense neuropathy of this nerve, which we now treated by permanent PNS with an 8-polar electrode. During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now. In conclusion, PNS is a promising procedure in the treatment of neuralgia after hernioplasty.
Walter
J
J
Klinik für Neurochirurgie, Friedrich-Schiller-Universität, Erlanger Allee 101, Jena, Germany. jan.walter@med.uni-jena.de
Reichart
R
R
Vonderlind
C
C
Kuhn
S A
SA
Kalff
R
R
D000328:Adult; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D005267:Femoral Nerve / Q000293:injuries*; D020428:Femoral Neuropathy / Q000209:etiology* / Q000628:therapy*; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009437:Neuralgia / Q000209:etiology* / Q000628:therapy*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D012086:Reoperation; D013526:Surgical Mesh; D013737:Testis / Q000294:innervation; D013848:Thigh / Q000294:innervation