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Chronic Abdominal Cutaneous Nerve Entrapment Syndrome Secondary to Tacker Fixation of Mesh Following Laparoscopic Incisional Hernia Repair : A missed Diagnosis

By: Contributor(s): Language: ENGLISH Publication details: QUEZON CITY FEU-NRMF 2017Description: 19 PAGESLOC classification:
  • RESSUR20170001
Summary: ABSTRACT: A case of a 45-year-old, male, American, with chronic and persistent incapacitating neuropathic abdominal wall pain is presented. The patient had been misdiagnosed in sevenmajor medical centers in the United States of America for the past two years, as numerous diagnostic modalities and treatment measures were done but unsuccessful. Consequently, the patient was frequently hospitalized abroad for utilization of Patient Controlled Analgesiaand was maintained on oral narcotic analgesics.He was diagnosed at our institution with chronic abdominal cutaneous nerve entrapment syndrome secondary to tacker fixation of mesh following laparoscopic incisional hernia repair and was successfully managed with laparoscopic removal of tackers affording absolute pain relief.
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Research Far Eastern University - Nicanor Reyes Medical Foundation Research SUR20170001 (Browse shelf(Opens below)) Available RC-RC-0023-17 R000568

ABSTRACT: A case of a 45-year-old, male, American, with chronic and persistent incapacitating neuropathic abdominal wall pain is presented. The patient had been misdiagnosed in sevenmajor medical centers in the United States of America for the past two years, as numerous diagnostic modalities and treatment measures were done but unsuccessful. Consequently, the patient was frequently hospitalized abroad for utilization of Patient Controlled Analgesiaand was maintained on oral narcotic analgesics.He was diagnosed at our institution with chronic abdominal cutaneous nerve entrapment syndrome secondary to tacker fixation of mesh following laparoscopic incisional hernia repair and was successfully managed with laparoscopic removal of tackers affording absolute pain relief.

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