[Neuralgia of the genitofemoral nerve after hernioplasty. Therapy by peripheral nerve stimulation].

Autor: Walter J; Klinik für Neurochirurgie, Friedrich-Schiller-Universität, Erlanger Allee 101, Jena, Germany. jan.walter@med.uni-jena.de, Reichart R, Vonderlind C, Kuhn SA, Kalff R
Jazyk: němčina
Zdroj: Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [Chirurg] 2009 Aug; Vol. 80 (8), pp. 741-4.
DOI: 10.1007/s00104-008-1624-5
Abstrakt: The peripheral nerve stimulation (PNS) is an established therapy in the management of neuropathic pain. Here, we describe a case of successful epifascial stimulation in the proximity of the genitofemoral nerve, which was injured during an endoscopic hernioplasty. During the following months the patient developed an intense neuropathy of this nerve, which we now treated by permanent PNS with an 8-polar electrode. During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now. In conclusion, PNS is a promising procedure in the treatment of neuralgia after hernioplasty.
Databáze: MEDLINE