V-022 POSTOPERATIVE INGUINODYNIA: LAPAROSCOPIC NEURECTOMY AND MESH REMOVAL

Abstract Aim Chronic groin pain following a hernioplasty is complication with an incidence of 10–12%. A multidisciplinary approach, including management services, interventional radiology and surgery, has proven the best outcomes. Persistence symptoms lack efficacy non-surgical treatments make surgical treatment prosthetic removal neurectomies appropriate alternative. Material & Methods We present clinical case 35-year-old male history bilateral laparoscopic performed at another institution 10 years ago. After he developed chronic pain, predominantly on left side, underwent multiple interventions. He complained that was severe incapacitating, affecting his quality life. Dermatome mapping evidenced compromise three inguinal nerves (ilioinguinal, iliohypogastric branch genitofemoral). approach NSAIDs, pregabalin, tricyclic antidepressants periradicular blocks followed by radiofrequency ablation established, without success. exploration mesh triple neurectomy then decided. Results The patient had adequate postoperative course. returned to daily activities sports practice, no recurrence observed after 1 year follow up. Conclusions suggested for inguinodynia. Neurectomy safe effective strategy, must be considered in which non-operative approaches failed. Surgery entails great challenge therefore should specialized centers.