• World Neurosurg · Jun 2019

    Laparoscopic-assisted intra-abdominal section of the lateral femoral cutaneous nerve for meralgia paraesthetica following anterior hip arthroplasty.

    • Jennifer Hong, Thadeus L Trus, and Perry A Ball.
    • Division of Neurosurgery, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. Electronic address: Jennifer.Hong@hitchcock.org.
    • World Neurosurg. 2019 Jun 1; 126: 415-417.

    BackgroundMeralgia 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.Case DescriptionIn 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.ConclusionsMinimally 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.Copyright © 2019 Elsevier Inc. All rights reserved.

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