Abstract
Triple neurectomy is the most definitive and effective remedial operation for refractory chronic postherniorrhaphy neuropathic pain. Successful outcomes are dependent on patient selection and understanding of the potential causes of pain. Laparoscopic triple neurectomy allows for reliable identification of the nerves within the retroperitoneal lumbar plexus outside the prior scarred operative field. It reliably addresses the neuropathic component of inguinodynia with minimal operative morbidity. It is effective as primary treatment for neuropathy of the ilioinguinal, iliohypogastric, and genitofemoral nerves and as an adjunct in those with mixed nociceptive and neuropathic pain.
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Kingman, S.A., Amid, P.K., Chen, D.C. (2016). Laparoscopic Triple Neurectomy. In: Jacob, B., Chen, D., Ramshaw, B., Towfigh, S. (eds) The SAGES Manual of Groin Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-21587-7_25
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DOI: https://doi.org/10.1007/978-3-319-21587-7_25
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