Treatment for meralgia paraesthetica

Khalil, Nofal; Nicotra, Alessia; Rakowicz, Wojtek

doi:10.1002/14651858.cd004159.pub3

Cited by 49 publications

(31 citation statements)

References 39 publications

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“…When these therapies fail, regional nerve block of the LFCN is commonly employed. Traditionally, the LFCN injection is performed by inserting a needle medial and caudal to the ASIS and injecting local anaesthetic in a field block [12][13][14]. Unfortunately, there is considerable anatomical variability of the LFCN in about 30 % of patients [15], and the distance between the LFCN and the ASIS can vary from 0.3 to 6.5 cm [16].…”

Section: Discussionmentioning

confidence: 99%

Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up

et al. 2015

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“…In addition, some patients experience spontaneous remission (22). First-line medical treatment usually consists of gabapentin or pregabalin (23,24), with the latter being preferable for conditions, such as MP, involving neuropathic pain and anxiety, due to its analgesic, anxiolytic and anticonvulsant effects (25).…”

Section: Discussionmentioning

confidence: 99%

Comparative Efficacy of Pregabalin and Ultrasonography-guided Lateral Femoral Cutaneous Nerve Blockage for Meralgia Paresthetica

Okur¹,

Vural²,

Doğan³

et al. 2017

International Journal of Therapies and Rehabilitation Research

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“…This causes various sensory symptoms over the antero-lateral aspect of the thigh [6]. The diagnosis is easy to make on clinical grounds.…”

Section: Discussionmentioning

confidence: 99%

Lateral cutaneous nerve of the thigh injury during gynaecological laparoscopic procedure

Botros

Herod

2010

Gynecol Surg

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This is a case report of a woman who developed severe meralgia paraesthetica due to an injury to the lateral cutaneous nerve of the thigh. The injury occurred during a laparoscopy and adhesiolysis procedure as a result of the positioning of one of the secondary ports close to the inguinal ligament. Symptoms were reported immediately after the procedure with tingling and numbness of the upper lateral aspect of the right thigh. The symptoms persisted for more than 3 months and required strong regular analgesia. She continues to suffer significant neurological symptoms and is considering a nerve decompression procedure. The lateral cutaneous nerve of the thigh varies in its course in the abdominal wall. This is particularly variable while it crosses the inguinal ligament. Hence, any ports placed close to the inguinal ligament near to the anterior superior iliac spine may injure the nerve resulting in meralgia paraesthetica. Injury to the nerve has been reported in different types of procedures, e.g. laparoscopic inguinal hernia repair. We believe that it has not been reported previously after a gynaecological laparoscopic procedure. In this case report, we highlight the possibility of an injury to the lateral cutaneous nerve of the thigh during gynaecological laparoscopic procedures. We review the anatomy and the variations in the nerve's course that could lead to its injury during minimal invasive gynaecological operations.Keywords Lateral cutaneous nerve of the thigh . Laparoscopy . Meralgia paraesthetica . Nerve injury Case reportA 23-year-old woman was referred to the gynaecology clinic with a history of right iliac fossa pain. The pain was persistent and became worse during the time of menstruation.She had a past history of an appendicectomy and a previous diagnostic laparoscopy 4 years earlier. She had never been pregnant and was using the combined oral contraceptive pill for contraception. There was no other significant past medical history.After the initial gynaecological assessment, a provisional diagnosis was made of right iliac fossa pain due to either endometriosis or pelvic adhesions. The plan was made to proceed to diagnostic laparoscopy with adhesiolysis if required.The patient agreed to have the laparoscopy procedure, and consent was obtained. A closed laparoscopy technique was performed. A pneumo-peritoneum was established via the per-umbilical insertion of the Veress needle. A 10-mm primary trocar was inserted at the umbilicus. Two 5-mm ports were inserted in the iliac fossae. The two secondary ports were noticeably near the inguinal ligament close to the anterior superior iliac spines. A good view of the pelvis and abdomen was obtained. Filmy adhesions of the ascending and the descending colons were divided. The pelvic organs were found to be normal. No evidence of endometriosis or any other pathology was identified.On the same night after the procedure, the patient complained of right-sided pains around the right secondary port site and numbness of the upper lateral thigh. She was prescribed oral...

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Treatment for meralgia paraesthetica

Cited by 49 publications

References 39 publications

Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up

Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up

Comparative Efficacy of Pregabalin and Ultrasonography-guided Lateral Femoral Cutaneous Nerve Blockage for Meralgia Paresthetica

Lateral cutaneous nerve of the thigh injury during gynaecological laparoscopic procedure

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