Division of Neurosurgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
World Neurosurg. 2019 Jun;126:415-417. doi: 10.1016/j.wneu.2019.03.093. Epub 2019 Mar 18.
Meralgia paresthetica, a pain syndrome that is caused by injury to the lateral femoral cutaneous nerve, is a well-documented complication after anterior hip arthroplasty (THA). Traditional treatment of this peripheral nerve entrapment syndrome can be complicated in patients who have had THA via an anterior approach owing to the presence of scar in the postoperative bed.
In a 70-year-old man, we performed a novel laparoscopic-assisted intra-abdominal approach to treat meralgia paresthetica in the setting of previous anterior THA.
Minimally invasive intra-abdominal treatment of meralgia paresthetica following anterior THA results in durable pain relief. This approach is a helpful alternative to traditional techniques of decompression or section of the lateral femoral cutaneous nerve below the inguinal ligament.
股外侧皮神经炎是一种由股外侧皮神经损伤引起的疼痛综合征，是髋关节前置换术（THA）后一种有明确记载的并发症。由于术后床存在瘢痕，对于接受前路 THA 的患者，传统的治疗这种周围神经卡压综合征的方法可能会很复杂。
我们对一名 70 岁男性采用了一种新的腹腔镜辅助腹腔内入路治疗先前前路 THA 后的股外侧皮神经炎。
THA 后采用微创腹腔内治疗股外侧皮神经炎可持久缓解疼痛。与传统的在腹股沟韧带以下切开或切断股外侧皮神经的减压技术相比，这种方法是一种有用的替代方法。
