ID | 65694 |
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Author |
Kondo Sr., Yoshitaka
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Fujiwara, Toshiyoshi
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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Abstract | This report presents a case of a 70-year-old woman who developed anterior cutaneous nerve entrapment syndrome (ACNES) three years ago and had an anterior cutaneous neurectomy in the left Th10 region. Postoperatively, the pain had improved entirely, but 10 weeks later, she developed a recurrence in the vicinity of the wound. The anterior intercostal nerve branch (Th10), located between the transversus abdominis and internal oblique muscles, was dissected laparoscopically six months after the initial surgery. There was no re-recurrence of pain for four months postoperatively. The postoperative recurrence of ACNES was refractory to various treatments, including surgical neurectomy, and is often difficult to treat. In cases in which transversus abdominis plane block is effective, laparoscopic neurectomy through an intraperitoneal approach may be effective, and minimally invasive laparoscopic treatment may be an effective surgical option for patients with recurrent and refractory ACNES who have a low pain threshold and are prone to prolonged complaints due to wound pain.
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Keywords | anterior cutaneous nerve entrapment syndrome
low pain threshold
intraperitoneal approach
laparoscopic neurectomy
refractory abdominal pain
acnes
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Published Date | 2023-05-23
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Publication Title |
Cureus
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Volume | volume15
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Issue | issue5
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Publisher | Springer
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Start Page | e39366
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ISSN | 2168-8184
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © 2023 Kondo et al.
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File Version | publisher
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Related Url | isVersionOf https://doi.org/10.7759/cureus.39366
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License | https://creativecommons.org/licenses/by/4.0/
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Citation | Kondo Y, Fujiwara T (May 23, 2023) Laparoscopic Surgical Options as a Minimally Invasive Procedure for a Patient With Recurrent Postoperative Pain in Anterior Cutaneous Nerve Entrapment Syndrome: A Case Report. Cureus 15(5): e39366. doi:10.7759/cureus.39366
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