• World Neurosurg · Nov 2021

    Suprainguinal re-resection of the lateral femoral cutaneous nerve in persistence or recurrence of meralgia paresthetica after previous transection: results of a case series.

    • de RuiterGodard C WGCWDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands. Electronic address: g.de.ruiter@haaglandenmc.nl., Pieter C Clahsen, and OosterhuisJ Wolter AJWADepartment of Surgery, Haaglanden Medical Center, The Hague, the Netherlands..
    • Department of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands. Electronic address: g.de.ruiter@haaglandenmc.nl.
    • World Neurosurg. 2021 Nov 1; 155: e830-e835.

    ObjectiveSuprainguinal re-resection of the proximal nerve stump can be performed in case of persistent or recurrent symptoms of meralgia paresthetica after previous transection of the lateral femoral cutaneous nerve (LFCN). Currently, no long-term results for this procedure have been reported in the literature.MethodsIn this study, 20 consecutive patients with persistent (13 cases) or recurrent (7 cases) symptoms of meralgia paresthetica were reoperated at a mean interval of 16 months after the first transection of the LFCN. The proximal nerve stump was sent for histopathologic analysis of a potential traumatic neuroma. Outcome was assessed using a 5-point Likert scale, which was obtained at a mean interval of 3.5 years after the suprainguinal re-resection.ResultsThe proximal stump of the LFCN was identified in 90% of the cases. Successful pain relief (Likert 1 or 2) was obtained in 65% of the patients. A neuroma was found in 11 cases (55%), mostly in recurrent cases after a pain-free interval. The indication for recurrence of symptoms more frequently resulted in successful pain relief (71%) compared with results for the indication for persistence of symptoms (62%). There was no correlation between the presence of a neuroma and the chance for pain relief.ConclusionsSuprainguinal re-resection of the LFCN can be a successful procedure, both for persistence and recurrence of symptoms of meralgia paresthetica after previous transection, with long-lasting pain relief. Several factors, however, should be considered before performing this relatively new technique in patients that are discussed in this article.Copyright © 2021 Elsevier Inc. All rights reserved.

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