Neurectomy significantly improves chronic post-herniorrhaphy pain, benefiting 90% of patients across multiple surgical techniques. Triple neurectomy yielded the highest overall improvement (98%), while double neurectomy achieved the highest complete pain relief (80%) but with more complications. Endoscopic retroperitoneal approaches offered strong pain improvement (95%) but carried the highest complication risk (29%). Overall, neurectomy is an effective treatment for neuropathic post-hernia pain, yet randomized trials are urgently needed to refine surgical strategies and optimize patient outcomes.
Review by Charitakis E, Haj-Ali E (…) Taha A et 11 al. in Hernia
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