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Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note
Mark A Mahan1, Andrew K Kader, Justin M Brown
1Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, 85013, USA, neuropub@dignityhealth.org.
Background:
Painful neuromas are a relatively common complication of hernia and abdominal wall surgery.
Objective:
Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative.
Methods:
In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot.
Results:
This approach was facile and provided elegant anatomical visualization.
Conclusion:
This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.
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