• Alexander E Yakovlev, Mazin Al Tamimi, Giancarlo Barolat, Sergey A Karasev, Yuri A Merkulov, Beth E Resch, and Victoria E Yakovleva.
• Comprehensive Pain Management of the Fox Valley, Appleton, WI, USA. aeyakovlev@yahoo.com
• Neuromodulation. 2010 Oct 1;13(4):288-90; discussion 291.

ObjectiveOur goal was to determine the efficacy of spinal cord stimulation for patients with intractable post-herniorrhaphy pain which conventional treatment failed to ameliorate.ProcedureThe patients underwent an uneventful spinal cord stimulator (SCS) trial with percutaneous placement of two eight-electrode epidural leads (Medtronic Inc, Minneapolis, MN, USA) to level T7-T8-T9.ResultsUpon experiencing excellent pain relief over the next two days during the trial, the patients were implanted with permanent leads and rechargeable or non-rechargeable generators two to four weeks later and reported sustained pain relief during following 12 months after implantation.ConclusionWe conclude that SCS offers an alternative treatment option for intractable post-herniorrhaphy pain. This type of treatment should be considered for use in a select group of patients when all conventional treatments failed.© 2010 International Neuromodulation Society.

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