Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery
Background: Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored. Methods: Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endosco...
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| Veröffentlicht in: | British journal of surgery 2009-09, Vol.96 (9), p.1076-1081 |
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| container_title | British journal of surgery |
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| creator | Giger, U. Wente, M. N. Büchler, M. W. Krähenbühl, S. Lerut, J. Krähenbühl, L. |
| description | Background:
Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored.
Methods:
Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow‐up data were obtained 1 and 12 months after surgery.
Results:
At both timepoints after ERN, the severity of chronic postoperative groin pain at rest and during daily activities, and the rate of occupational disability, were significantly decreased in 27 of the 39 patients compared with preoperative values (all P < 0·001).
Conclusion:
ERN for chronic postoperative genitofemoral nerve entrapment neuropathy was successful in the majority of patients selected for the procedure. This minimally invasive approach allows simultaneous neurectomy of genitofemoral and ilioinguinal nerves. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
As effective as open surgery in selected patients |
| doi_str_mv | 10.1002/bjs.6623 |
| format | Article |
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Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored.
Methods:
Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow‐up data were obtained 1 and 12 months after surgery.
Results:
At both timepoints after ERN, the severity of chronic postoperative groin pain at rest and during daily activities, and the rate of occupational disability, were significantly decreased in 27 of the 39 patients compared with preoperative values (all P < 0·001).
Conclusion:
ERN for chronic postoperative genitofemoral nerve entrapment neuropathy was successful in the majority of patients selected for the procedure. This minimally invasive approach allows simultaneous neurectomy of genitofemoral and ilioinguinal nerves. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
As effective as open surgery in selected patients</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.6623</identifier><identifier>PMID: 19672938</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Biological and medical sciences ; Chronic Disease ; Endoscopy ; Female ; General aspects ; Groin - surgery ; Humans ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Nerve Compression Syndromes - surgery ; Neuralgia - etiology ; Neuralgia - surgery ; Pain, Postoperative - surgery</subject><ispartof>British journal of surgery, 2009-09, Vol.96 (9), p.1076-1081</ispartof><rights>Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><rights>2009 INIST-CNRS</rights><rights>(c) 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-702011fcb4af5828ee386bdd8eda0a7098c820e19eceb252b69465e701c407213</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.6623$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.6623$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21819123$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19672938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giger, U.</creatorcontrib><creatorcontrib>Wente, M. N.</creatorcontrib><creatorcontrib>Büchler, M. W.</creatorcontrib><creatorcontrib>Krähenbühl, S.</creatorcontrib><creatorcontrib>Lerut, J.</creatorcontrib><creatorcontrib>Krähenbühl, L.</creatorcontrib><title>Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background:
Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored.
Methods:
Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow‐up data were obtained 1 and 12 months after surgery.
Results:
At both timepoints after ERN, the severity of chronic postoperative groin pain at rest and during daily activities, and the rate of occupational disability, were significantly decreased in 27 of the 39 patients compared with preoperative values (all P < 0·001).
Conclusion:
ERN for chronic postoperative genitofemoral nerve entrapment neuropathy was successful in the majority of patients selected for the procedure. This minimally invasive approach allows simultaneous neurectomy of genitofemoral and ilioinguinal nerves. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
As effective as open surgery in selected patients</description><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Endoscopy</subject><subject>Female</subject><subject>General aspects</subject><subject>Groin - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Neuralgia - etiology</subject><subject>Neuralgia - surgery</subject><subject>Pain, Postoperative - surgery</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1LxDAQBuAgiq6r4C-QXvRWnUm2aXpU8RNR8QPFS0jTqVa7TU1adP-9XVz1NHN4eJl5GdtC2EMAvp-_hT0puVhiIxQyiTlKtcxGAJDGKLhYY-shvAGggISvsjXMZMozoUbs4rgpXLCurWzkqfOuJV91riFTRw31nmznprOodD6yr941A2tN1USm7MhHL94Ne-j9C_nZBlspTR1oczHH7OHk-P7oLL68Pj0_OriMrVBKxClwQCxtPjFlorgiEkrmRaGoMGBSyJRVHAgzspTzhOcym8iEUkA7gZSjGLPdn9zWu4-eQqenVbBU16Yh1wct0yRDNbQxZtsL2OdTKnTrq6nxM_37_QB2FsAEa-rSm8ZW4c9xVJghF4OLf9xnVdPsPwf0vH09tK_n7evDi7v5_PdV6Ojrzxv_Phwn0kQ_Xp3qR3WDh0-3V_pZfAPLHIXC</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Giger, U.</creator><creator>Wente, M. N.</creator><creator>Büchler, M. W.</creator><creator>Krähenbühl, S.</creator><creator>Lerut, J.</creator><creator>Krähenbühl, L.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery</title><author>Giger, U. ; Wente, M. N. ; Büchler, M. W. ; Krähenbühl, S. ; Lerut, J. ; Krähenbühl, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-702011fcb4af5828ee386bdd8eda0a7098c820e19eceb252b69465e701c407213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Endoscopy</topic><topic>Female</topic><topic>General aspects</topic><topic>Groin - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerve Compression Syndromes - surgery</topic><topic>Neuralgia - etiology</topic><topic>Neuralgia - surgery</topic><topic>Pain, Postoperative - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Giger, U.</creatorcontrib><creatorcontrib>Wente, M. N.</creatorcontrib><creatorcontrib>Büchler, M. W.</creatorcontrib><creatorcontrib>Krähenbühl, S.</creatorcontrib><creatorcontrib>Lerut, J.</creatorcontrib><creatorcontrib>Krähenbühl, L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giger, U.</au><au>Wente, M. N.</au><au>Büchler, M. W.</au><au>Krähenbühl, S.</au><au>Lerut, J.</au><au>Krähenbühl, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>2009-09</date><risdate>2009</risdate><volume>96</volume><issue>9</issue><spage>1076</spage><epage>1081</epage><pages>1076-1081</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background:
Chronic postoperative pain after inguinal surgery remains a difficult problem. The role of minimally invasive surgery in this complex setting is still unexplored.
Methods:
Between January 1997 and January 2007, 34 men and five women with a mean(s.d.) age of 47(16) years underwent endoscopic retroperitoneal neurectomy (ERN) for chronic neuropathic groin pain due to genitofemoral nerve with or without ilioinguinal nerve entrapment. Follow‐up data were obtained 1 and 12 months after surgery.
Results:
At both timepoints after ERN, the severity of chronic postoperative groin pain at rest and during daily activities, and the rate of occupational disability, were significantly decreased in 27 of the 39 patients compared with preoperative values (all P < 0·001).
Conclusion:
ERN for chronic postoperative genitofemoral nerve entrapment neuropathy was successful in the majority of patients selected for the procedure. This minimally invasive approach allows simultaneous neurectomy of genitofemoral and ilioinguinal nerves. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
As effective as open surgery in selected patients</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>19672938</pmid><doi>10.1002/bjs.6623</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of surgery, 2009-09, Vol.96 (9), p.1076-1081 |
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| language | eng |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Chronic Disease Endoscopy Female General aspects Groin - surgery Humans Length of Stay Male Medical sciences Middle Aged Nerve Compression Syndromes - surgery Neuralgia - etiology Neuralgia - surgery Pain, Postoperative - surgery |
| title | Endoscopic retroperitoneal neurectomy for chronic pain after groin surgery |
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