Neurectomy – a recent analysis
Here is is an elaborate paper trying to show that a specific method of neurectomy is effective at reducing chronic pain from inguinal hernia repair. Unfortunately, they could not draw a firm conclusion.
It has some interesting parts and references. Overall, it looks like an attempt to show that laparoscopic (“minimally invasive”)neurectomy has some sort of benefit. They could not show that.
“Is pain control for chronic neuropathic pain after inguinal hernia repair using endoscopic retroperitoneal neurectomy effective? A meta-analysis of 142 patients from 1995 to 2022”
Chronic pain, defined as pain that lasts for three to 6 months and frequently fluctuates, is a recognized complication in patients after groin hernia repair . In the literature, it has been documented that 0.5–37% of patients experience chronic pain after surgical groin hernia repair [2,3,4,5,6,7].”
Persistent neuropathic pain is a common complication of surgical hernia repair. However, it is often debilitating as it permanently affects the patient’s physical abilities and mental health. As a result, several techniques have been developed to relieve the symptoms of postoperative inguinal neuropathic pain. We conducted a meta-analysis of five studies on the minimally invasive endoscopic retroperitoneal method for ilioinguinal, iliohypogastric and genitofemoral nerve triple neurectomy. Our analysis showed that endoscopic retroperitoneal neurectomy can be an effective treatment option for postoperative neuropathic pain relief following surgical hernia repair. Considering the small number of patients in this study, data interpretation with regard to efficacy can only be limited. Although there is limited reported experience with this technique, it may provide a clinical benefit to the patient. Further prospective data and long-term follow-up of the triple neurectomy procedure will be needed to confirm these outcomes.”
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