CASE REPORTS   

Chirurgia 2006 August;19(4):325-6

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Postherniorrhaphy neuropathic pain caused by tacks

Vuilleumier H., Maternini M.

Department of Surgery Lausanne, Switzerland

The incidence of chronic neuralgia after herniorraphy is probably understated. Nerve injury may be caused by complete or partial nerve section, contact with foreign material, compression by scar tissue or by mesh fixation devices. We report the case of a 21-year-old woman with neuropathic pain after laparoscopic bilateral TEP hernia repair due to ilio-hypogastric nerve entrapment by tack. Surgical treatment consisted of removing tacks and neurectomy. Deep insertion of staples or tacks during laparoscopic repair should be avoided. An adequate mesh fixation can be accomplished using fibrin glue and will avoid the complications associated with tackers or staples use.