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      Treatment for persistent chronic neuralgia after inguinal hernioplasty.

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          Abstract

          Following an inguinal hernia repair with open or laparoscopic technique, 1-15% of patients show persistent neuralgia, a severe, potentially debilitating, complication. Several therapeutic procedures have been proposed, but consensus regarding choice of treatment has not yet been achieved. We performed a prospective study on 32 such cases. Patients underwent anaesthetic infiltration to identify, when possible, the involved nerve, and we then carried out a step-by-step therapeutic protocol. In the initial phase, patients were treated with oral analgesic and afterwards with repeated infiltrations of anaesthetic and cortisone. Surgery was reserved for patients not responding to the infiltrations, though with no good success. The authors believe that noninvasive methods are to be preferred, whereas neurectomy interventions should be reserved for selected cases.

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          Author and article information

          Journal
          Hernia
          Hernia : the journal of hernias and abdominal wall surgery
          Springer Nature
          1265-4906
          1248-9204
          Dec 2007
          : 11
          : 6
          Affiliations
          [1 ] Dipartimento di Chirurgia Francesco Durante, 1st Faculty of Medicine, Università degli Studi di Roma La Sapienza, Azienda Policlinico Umberto I, Viale del Policlinico 155, Rome 00161, Italy. piergaspare.palumbo@uniroma1.it
          Article
          10.1007/s10029-007-0268-6
          17668147
          e6d0b0e6-1524-4f69-af13-b06dcbb0826a
          History

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