Case Report
A Remarkable Pitfall in Inguinal Open Mesh Herniorrhaphy
Zwaans WAR1*, Scheltinga MRM1,2 and Roumen RMH1,2
1Department of General Surgery, Máxima Medical Centre, Veldhoven/Eindhoven, The Netherlands
2SolviMáx, Centre of Excellence for Abdominal Wall and Groin Pain, Eindhoven, The Netherlands
- *Corresponding Author:
- Zwaans WAR
Maxima Medisch Centrum
General Surgery, De Run 4600
P.O. Box 7777, Veldhoven
5500 MB, The Netherlands
Tel: 0031630548248
E-mail: willemzwaans@gmail.com
Received date: August 19, 2015 Accepted date: September 14, 2015 Published date: September 21, 2015
Citation: Zwaans WAR, Scheltinga MRM, Roumen RMH (2015) A Remarkable Pitfall in Inguinal Open Mesh Herniorrhaphy. J Gastrointest Dig Syst 5:343. doi:10.4172/2161-069X.1000343
Copyright: © 2015 Zwaans WAR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
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.