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[Entrapped nerve causing severe post-operative pain from scar tissue]
Michael Møller1, Alessandro Venzo
1Klinik for Plastikkirurgi, Brystkirurgi og Brandsårsbehandling, Rigshospitalet, Blegdamsvej 9, 2100 København Ø.
Ugeskrift for Laeger
|October 9, 2014
Summary
Chronic post-operative pain from nerve entrapment in surgical scars can be effectively treated. Selective neurectomy provided immediate relief for pain caused by a cutaneous nerve trapped in a laparotomy scar.
Area of Science:
- Pain Medicine
- Surgical Pathology
- Neurology
Background:
- Chronic post-operative pain can arise from cutaneous nerve entrapment within surgical scars.
- This condition mimics symptoms of traumatic neuroma or anterior cutaneous nerve entrapment syndrome (ACNES).
- ACNES is often idiopathic, making differential diagnosis crucial.
Observation:
- A case study details chronic pain resulting from a cutaneous nerve entrapment in a laparotomy scar.
- The patient presented with symptoms consistent with nerve entrapment.
Findings:
- Selective neurectomy was performed to address the entrapped cutaneous nerve.
- Immediate and complete pain relief was achieved post-surgery.
Implications:
- This case highlights nerve entrapment in surgical scars as a treatable cause of chronic post-operative pain.
- Selective neurectomy is a viable and effective treatment option for this specific condition.
- Accurate diagnosis is key to differentiating scar-related nerve entrapment from other pain syndromes.
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