Triple Neurectomy Versus Selective Neurectomy


Authors

N

Primary surgery

Pain surgery

Neurectomy

Mesh removal

New mesh

Pain relief

Follow-up

Loos et al. [8]

54

Suture 24

Mesh 30

Lap 10

Open

IIN 44

GFN 25

IHN 9

Partly 19/54

No

Pain-free 25/49

Improved 12/49

Worsened 8/49

18 months PE and Q

Starling et al. [9]

13

Open

Open

GB, IIN, or IHN

No

No

10/13

Not reported

Starling et al. [10]

17

Open

Open

GB, IIN, or IHN

No

No

12/17

Not reported

Heise et al. [11]

20

Open 17

Lap 3

Open

IIN or IHN

Yes

No

Improved 12/20

Phone-Q, PE

Lee et al. [12]

11

Open 8

Lap 3

Open

IHN, IIN, GFN, or LFCN

a

a

Nine improved

6–18 months, phone-Q

Deysine et al. [13]

22

Open

Open

IHN

No

No

Twenty-two pain-free

Not reported

Madura et al. [14]

100

Open 87

Lap 13

Open

IHN, IIN, or GFN

Yes

No

Seventy-two pain-free

1 month, PE (no data)

Kim et al. [15]

16

Open

Open

IIN or IIN + IHN

a

a

14/16

12–46 months, phone-Q

Keller et al. [16]

21

Suture 2

Mesh 14

Lap 6

Comb.

IIN 2, IHN + IIN 9, TNE 7

Yes

Yes

Pain-free 15/21

Improved 5/21

Pain recur 1/21

6 weeks, PE (no data)

Giger et al. [17]

39b

Suture 20

Mesh 9

Lap 4

Lapar. ERN

GFN 19

GFN + IIH 20

No

No

Improved 27/39

12 months PE

Vuilleumir et al. [18]

43

Open 31

Lap 12

Open

IIN 35, IHN 11

Yes

Yes

Pain-free 41/43

Improved 2/43

12 months PE


BMR biologic mesh repair, Sr suture repair, Q questionnaire, PE physical examination, LFCN lateral femoral cutaneous nerve

aNot reported, QL quality of life, Lapar ERN retroperitoneoscopic neurectomy

bIncludes noninguinal hernia surgery




Table 31.2.
Long-term results after selective neurectomy (>24 months).




















































































Authors

N

Primary surgery

Pain surgery

Neurectomy

Mesh removal

New mesh

Pain relief

Follow-up

Bischoff et al. [2]

54

Open: mesh 46

Plug 8

Open

Selective NE IIN 37

IHN 19

GFN 10

Yes

No

Improved 16/25

Unchanged 6/25

Worsened 3/25

36 months, PE 3 months, Q pain, physical + sexual. Function

Bower et al. [19]

12

Open

Open

IHN, IIN, GFN, LFCN

No

No

Improved 9/12

66 months PE (no data)

Ducic et al. [20]

19

Not reported

Open

Selective neurectomy

No

No

Improvement in pain and quality of life 16/19

24 months PE (no data)

Zacest et al. [21]

18a

Not reported

Open

Selective IIN 25, GFN 2

No

No

Pain-free 5/18

Improved 7/18

35 months (3–108 months) Q

Koopmann et al. [22]

67

Open 54

Lap 13

Open

Selective neurectomy

Yes

35 BMR

32 SR

Improved: BMR 29/35

SR 23/32

32 bis 80 months, 56 % phone-Q

Valvekens et al. [23]

12

Open 2

Lap 10

Comb.

Unspecified neurectomy

Yes 6/12

No

Improved 4/12

Unchanged 7/12

Worsened 1/12

32 months (11–118 months) Q


BMR biologic mesh repair, Sr suture repair, Q questionnaire, PE physical examination

aIncludes noninguinal hernia surgery



Table 31.3.
Triple neurectomy studies.
























































Authors

N

Primary surgery

Pain surgery

Neurectomy

Mesh removal

New mesh

Pain relief

Follow-up

Amid and Hiatt [5]

415

Sr 212

Mesh 195

Lap 8

Open

TNE

No

No

Pain-free 85 %

Improved 14 %

1 month 100%

6 months > 90 %

PE and phone-Q (no data)

Amid et al. [6]

16

Open

Lap

Open

Extended TNE

Part.

Me

Part.

Me

Improved 14/16

4–6 weeks, PE (no data)

Campanelli et al. [24]

46

Open

Open ant + post mesh

TNE 44

IHN 2

Yes

40/46

Yes

42/46

Pain-free 40/46

Not improved 6/46

12 months (12–66 months)

PE 100 %

Chen et al. [25]

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Oct 21, 2016 | Posted by in PAIN MEDICINE | Comments Off on Triple Neurectomy Versus Selective Neurectomy

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