Title |
Treatment for persistent chronic neuralgia after inguinal hernioplasty
|
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Published in |
Hernia, August 2007
|
DOI | 10.1007/s10029-007-0268-6 |
Pubmed ID | |
Authors |
P. Palumbo, A. Minicucci, A. G. Nasti, I. Simonelli, F. Vietri, A. M. Angelici |
Abstract |
Following an inguinal hernia repair with open or laparoscopic technique, 1-15% of patients show persistent neuralgia, a severe, potentially debilitating, complication. Several therapeutic procedures have been proposed, but consensus regarding choice of treatment has not yet been achieved. We performed a prospective study on 32 such cases. Patients underwent anaesthetic infiltration to identify, when possible, the involved nerve, and we then carried out a step-by-step therapeutic protocol. In the initial phase, patients were treated with oral analgesic and afterwards with repeated infiltrations of anaesthetic and cortisone. Surgery was reserved for patients not responding to the infiltrations, though with no good success. The authors believe that noninvasive methods are to be preferred, whereas neurectomy interventions should be reserved for selected cases. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 25 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Professor > Associate Professor | 5 | 20% |
Student > Bachelor | 4 | 16% |
Student > Ph. D. Student | 4 | 16% |
Student > Master | 4 | 16% |
Other | 2 | 8% |
Other | 3 | 12% |
Unknown | 3 | 12% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 19 | 76% |
Engineering | 2 | 8% |
Psychology | 1 | 4% |
Unknown | 3 | 12% |