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Acta Neurochir (Wien). 2014 Jan;156(1):171-5. doi: 10.1007/s00701-013-1857-z. Epub 2013 Sep 13.

Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note.

Author information

  • 1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, 85013, USA, neuropub@dignityhealth.org.

Abstract

BACKGROUND:

Painful neuromas are a relatively common complication of hernia and abdominal wall surgery.

OBJECTIVE:

Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative.

METHODS:

In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot.

RESULTS:

This approach was facile and provided elegant anatomical visualization.

CONCLUSION:

This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.

PMID:
24026228
[PubMed - in process]
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