Abdominoinguinal Pain Syndrome Treated by Centrocentral Anastomosis

Abstract

During operations in the lower part of the abdomen injuries to nerves located here arise in 1-4,2 per cent; the most frequently iliohypogastric, ilioinguinal, genitofemoral and lateral femoral cutaneous nerves. These injuries to nerves are often very painful and till to day very difficult to treat. Clinical terminology of their injuries is variable and not strict. Therefore we suggest an all embracing term "abdominoinguinal pain syndrome". The authors present four case reports, in whom centrocentral anastomosis with use of both autologous interposed segment of nerve and also without it, achieved successful treatment of chronic pain. On the basis of this experience the authors prefer centrocentral anastomosis without autologous interposed segment of nerve, which is technicaly more simple.

Surgical management of chronic pain after inguinal hernia repair

“…Thirty‐five articles regarding surgical treatment for groin pain were identified. Ten10–19 were excluded as they did not contain data on chronic pain. Six20–25 were excluded as data from patients with pain after hernia operation could not be distinguished from those of patients with pain after other types of surgery.…”

Estudio de relación entre el músculo psoas y el plexo lumbar retroperitoneal: implicaciones médico-quirúrgicas

“…Entonces se puede manifestar una clínica de neuralgia, meralgia parestésica, inguinodinia, dolor testicular o abolición del reflejo cremastérico, lo que se traduce en un ligero descenso del testículo del lado afecto. Benes, en 2000 ha sugerido llamar a esta entidad síndrome de dolor abdominoinguinal 27 . Por ello, una correcta formación en anatomía regional y de sus variantes es esencial en la prevención de lesiones nerviosas del plexo lumbar, principalmente cuando optamos por el abordaje laparoscópico [26][27][28][29][30] .…”

Successful Treatment of Genitofemoral Neuralgia Using Ultrasound Guided Injection: A Case Report and Short Review of Literature

“…These nerves are quiet susceptible to injury following many lower abdominal and pelvic surgeries. Beneš et al suggest using the term abdominoinguinal pain syndrome, as a common entity [3]. The diagnosis and treatment of these conditions are difficult and challenging.…”