Patient's Query
Hello doctor,
I am having an inguinal mesh removal and triple neurectomy 20 days later. What type of pain and side effects should I expect from the neurectomy?
Hello,
Welcome to icliniq.com. I understand your concern and would explain that this type of neurectomy is usually used to treat chronic resistant pain in the groin area (inguinal region) due to inguinal herniation. So, it is supposed that your situation will improve, and you will experience only local pain due to the surgery and soft tissues inflammation. This type of pain will usually disappear in a couple of weeks, after healing. Acetaminophen and Ibuprofen can help improve pain. If neurectomy is not successful, persistent pain like heaviness or dull pain may persist. In such a case, Gabapentin or Pregabalin would help against the pain.
Patient's Query
Thank you doctor,
I had the hernia surgery eight months back. I have had pain every single second of every day in my groin and more intensely around especially below my incision (anterolateral). They believe the mesh may be trapped in a nerve or scar tissue. My question is, will the tripple neurectomy remove the nerves around the incision to eliminate this pain.
Hi,
Welcome back to icliniq.com. This procedure consists of cutting iliohypogastric and ilioinguinal nerves, which are responsible for the pain that you have been experiencing. The nerves are cut and put inside the muscle. They are not taken off. The aim is to inhibit the sensation of the pain from these nerves, by cutting their contact with the main nerves and the spinal cord. They are sensory nerves, so nothing bad is going to happen from cutting them. You are supposed to get nerve pain free after the procedure. This is a successful procedure in cases with intractable pain with a very low rate of complications.
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Answered byDr. Aida Abaz Quka
Medically reviewed byDr. Divya Banu M
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