Hello,
I’ve had a UHS removed which I would say is quite similar to a plug and patch in terms of removal, maybe even more difficult.
The first question, is triple neurectomy performed 100% of times?
No.
Some surgeon do it prophylactically but from what I’ve read there is no evidence to support that this is the best way to go.
1.Can a surgeon peel/save nerves
Theoretically yes but from my case and others I’ve read, once a nerve is affected, it’s usually neurecotmized.
2.Can nerves be seen?
Again, theoretically possible. I have a nice picture of my n. ilioinguinalis fused to the mesh. But a nerve could also be too small to see or obscured by something else.
3. A neurectomy can lead to a neuroma. Basically a nerve growth that is pathological. And these can lead to chronic neuropathic pain.
4.I don’t think there are any inherent differences between nerves in this regard. It probably depends on your anatomy and how the plug and patch is located.
5. Partial removal is definitely possible