Management of Medically Intractable genitofemoral and Ilioingunal Neuralgia

Amaç & Hipotez:AMAÇ: Medikal tedaviye dirençli genitofemoral ve ilioinguinal nevraljilerde girişimsel uygulamaların etkinliğinin değerlendirilmesi.YÖNTEM ve GEREÇLER: Bu prospektif çalışmada kliniğimizde 2007-2011 yılları arasında genitofemoral ve ilioinguinal nevralji nedeni iletedavi edilen 20 hasta incelenmiştir.

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Temel Bulgular & Veri:Hastaların preop ve postop VAS sonuçları ve muayenelerideğerlendirildi.

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Sonuç & Katkı:BULGULAR: Hastalardan 14ü (%70) sinir blokları ile sinir bloğu ile rahatlamayan 6 hasta (%30) ise nörektomi ile tedavi edildi.

🔬Tür:Araştırma Makalesi

📍Kapsam:2007-2011 · 20 hasta

⚙️Değişkenler:Alan Parametreleri

Özet

AMAÇ: Medikal tedaviye dirençli genitofemoral ve ilioinguinal nevraljilerde girişimsel uygulamaların etkinliğinin değerlendirilmesi.YÖNTEM ve GEREÇLER: Bu prospektif çalışmada kliniğimizde 2007-2011 yılları arasında genitofemoral ve ilioinguinal nevralji nedeni iletedavi edilen 20 hasta incelenmiştir. Çalışmada medikal tedaviye cevap vermeyen hastalarda genitofemoral ve ilioinguinal sinir bloklarıyapıldı. Sinir bloğuna rağmen ağrısı düzelmeyen hastalarda ise nörektomi uygulandı. Hastaların preop ve postop VAS sonuçları ve muayenelerideğerlendirildi. BULGULAR: Hastalardan 14ü (%70) sinir blokları ile sinir bloğu ile rahatlamayan 6 hasta (%30) ise nörektomi ile tedavi edildi. SONUÇ: Medikal tedavi ile ağrı kontrolü sağlanamayan genitofemoral ve ilioinguinal nevraljili hastalarda sinir blokları ve nörektomiler güvenleuygulanabilecek etkili tedavi alternatifleridir.

Abstract

AIM: To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia.MATERIAL and METHODS: This is a prospective study of 20 patients with genitofemoral and ilioinguinal neuralgias who were treated at ourmedical center between 2007 and 2011. Genitofemoral and ilioinguinal nerve blocks were performed in all cases after medical treatmenthad failed to alleviate the patients pain. Neurectomy was performed for the patients whose pain did not improve. Patient histories, physicalexaminations and visual analogue scale scores before and after treatments were analyzed.results: Fourteen (70%) of the patients were treated with nerve blocks and six (30%) of the patients whose pain did not improve with nerveblock application underwent neurectomy which resulted in pain relief. CONCLUSION: For patients with medically intractable genitofemoral and ilioinguinal neuralgias, nerve blocks and neurectomies can beapplied safely for pain control.

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Bu Makaleye Atıf Yap

CIRAK, B., ACAR, F., OZDEMİR, M., COSKUN, E., BURCHIEL, K., BAYRAK, F. (2022). Management of Medically Intractable genitofemoral and Ilioingunal Neuralgia. Turkish Neurosurgery, Cilt: 23 - Sayı: 6, 753–757. https://ajindex.com/articles/617003

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Benito-Leon J, Picardo A, Garrido A, Cuberes R: Gabapentin therapy for genitofemoral and ilioinguinal neuralgia. J Neurol 248:907-908, 2001 2. Coderre TJ, Kumar N, Lefebvre CD, YU JS: Evidence that gabapentin reduces neuropathic pain by inhibiting the spinal release of glutamate. J Neurochem 94:1131- 1139, 2005 3. Demircay E, Kabatas S, Cansever T, Yılmaz C, Tuncay C, Altinors N: Radiofrequency thermocoagulation of ganglion impar in the management of coccydynia: Preliminary results. Turkish Neurosurg 20:328-333, 2010 4. Fanelli RD, DiSiena MR, Lui FY, Gersin KS: Cryoanalgesic ablation for the treatment of chronic postherniorrhaphy neuropathic pain. Surg Endosc 17:196-200, 2003 5. Gallagher RM: Management of neuropathic pain: Translating mechanistic advances and evidence-based research into clinical practice. Clin J Pain 22:2-8, 2006 6. Miller JP, Acar F, Kaimaktchiev VB, Gultekin SH, Burchiel KJ: Pathology of ilioinguinal neuropathy produced by mesh entrapment: Case report and literature review. Hernia 12: 213-216, 2008 7. Murovic JA, Kim DH, Tiel RL, Kline DG: Surgical management of 10 genitofemoral neuralgias at the Louisiana State University Health Sciences Center. Neurosurgery 56:298-303, 2005 8. Paicius RM, Bernstein CA, Lempert-Cohen C: Peripheral nerve field stimulation in chronic abdominal pain. Pain Physician 9:261-266, 2006 9. Poobalan AS, Bruce J, Smith WC, King PM, Krukowski ZH, Chambers WA: A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 19:48-54, 2003 10. Possover M, Baekelandt J, Chiantera V: The laparoscopic approach to control intractable pelvic neuralgia: From laparoscopic pelvic neurosurgery to the LION procedure. Clin J Pain 23:821-825, 2007 11. Rauchwerger JJ, Giordano J, Rozen D, Kent JL, Greenspan J, Closson CW: On the therapeutic viability of peripheral nerve stimulation for ilioinguinal neuralgia: Putative mechanisms and possible utility. Pain Pract 8:138-143, 2008 12. Rozen D, Ahn J: Pulsed radiofrequency for the treatment of ilioinguinal neuralgia after inguinal herniorrhaphy. Mt Sinai J Med 73:716-718, 2006 13. Smith SE, DeLee JC, Ramamurthy S: Ilioinguinal neuralgia following iliac bone- grafting. Report of two cases and review of the literature. J Bone Joint Surg Am 66:1306-1308, 1984 14. Starling JR, Harms BA: Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. World J Surg 13:586-591, 1989 15. Zacest AC, Magill ST, Anderson VC, Burchiel KJ: Long-term outcome following ilioinguinal neure