Sistema Gastrointestinal e Digestivo

Abstrato

A Remarkable Pitfall in Inguinal Open Mesh Herniorrhaphy

Zwaans WAR, Scheltinga MRM, Roumen RMH

A patient was referred to SolviMáx, our 'centre of excellence for chronic abdominal wall and groin pain' because of persistent inguinodynia after a Lichtenstein repair. A surgical exploration revealed a spermatic cord that was divided by the mesh, supposedly during the primary repair. As a consequence, the patient had developed severe neuropathic pain originating from a damaged genitofemoral nerve. Following a tailored neurectomy, he became pain free.