Treatment of severe bilateral nerve pain after Pfannenstiel incision

Urology
Kadir TosunPeter Rehder

Abstract

The lower transverse abdominal incision, as described by Hermann Johannes Pfannenstiel, cutting both skin and fascia in a transverse fashion was popularized in 1900. Nerve pain syndromes included invalidating pain involving neuroma formation or scar encasement of the ilioinguinal or iliohypogastric nerves. We report a case of a female patient who developed severe pain at the lateral wound edges of a Pfannenstiel incision. The diagnosis of pain of nerve origin was made by infiltration of local anesthetic, after which the pain immediately vanished temporarily. Only complete excision of the scar and involved part of the nerve stopped the pain.

References

Aug 1, 1990·Annals of Emergency Medicine·K MelvilleJ M Dougherty

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Citations

Apr 2, 2008·Obstetrics and Gynecology·Maarten J LoosRudi M Roumen
Oct 25, 2008·Annals of Surgery·Maarten J A LoosRudi M H Roumen
Oct 16, 2012·The Journal of Pain : Official Journal of the American Pain Society·Patrícia R PintoVera Araújo-Soares
Aug 2, 2011·Pain Practice : the Official Journal of World Institute of Pain·Patricia NelsonPhilip S Sizer
Dec 14, 2011·American Journal of Obstetrics and Gynecology·Erin A S Clark, Robert M Silver
May 23, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·C Bonneau, J Nizard
Jul 27, 2010·Seminars in Perinatology·Robert M Silver

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