Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note.

Abstract

Painful neuromas are a relatively common complication of hernia and abdominal wall surgery. Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative. In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot. This approach was facile and provided elegant anatomical visualization. This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.