Abstract
Treatment of non-responding pain to conservative treatment located at the anterolateral thigh with surgical decompression of the lateral femoral cutaneous nerve of the thigh (LFCN). Compression syndrome of the LFCN; patients suffering from the following symptoms: pain (dysesthesia), numbness (paresthesia), hypersensibility to temperature (or temperature changes) along the course of the LFCN located at the anterolateral thigh. Anew or recrudescent hernia with additional pain or recent laparoscopic hernia repair as asupposed iatrogenically induced compression of the LFCN. Dissection and release of the LFCN of connective tissue, scar tissue, bone rims, and retraction located along the passage underneath the inguinal ligament and distally. Suture removal after 10-14days, no sports for 2weeks. Physiotherapy if necessary. Neurography 4months after surgery (obligatory if symptoms are persistent). The patient should be followed up for about 24months. Of the patients, 69% had a history of trauma or surgery, which were designated as the onset of pain. Of these patients, 78% had hip prostheses and 22% had previous falls. Postoperatively, asignificant reduction of pain of 6.6points on the numeric rating scale was observed. All other evaluated parameters also improved postoperatively. Patient satisfaction was high, with 86% reporting complete satisfaction, and 14% reporting partial satisfaction.
Published Version
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