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Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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31. Triple Neurectomy Versus Selective Neurectomy<br />

407<br />

Table 31.2. Long-term results after selective neurectomy (>24 months).<br />

Authors N Primary<br />

surgery<br />

Bisch<strong>of</strong>f et al. [ 2 ] 54 Open: mesh 46<br />

Plug 8<br />

<strong>Pain</strong><br />

surgery Neurectomy<br />

Open Selective NE IIN 37<br />

IHN 19<br />

GFN 10<br />

Bower et al. [ 19 ] 12 Open Open IHN, IIN, GFN,<br />

LFCN<br />

Ducic et al. [ 20 ] 19 Not reported Open Selective<br />

neurectomy<br />

Zacest et al. [ 21 ] a<br />

18 Not reported Open Selective IIN 25,<br />

GFN 2<br />

Koopmann et al. [ 22 ] 67 Open 54<br />

Lap 13<br />

Valvekens et al. [ 23 ] 12 Open 2<br />

Lap 10<br />

Open Selective<br />

neurectomy<br />

Comb. Unspecified<br />

neurectomy<br />

Mesh<br />

removal<br />

New<br />

mesh <strong>Pain</strong> relief Follow-up<br />

Yes No Improved 16/25<br />

Unchanged 6/25<br />

Worsened 3/25<br />

36 months, PE 3<br />

months, Q pain,<br />

physical + sexual.<br />

Function<br />

No No Improved 9/12 66 months PE<br />

(no data)<br />

No No Improvement in 24 months PE<br />

pain and quality (no data)<br />

<strong>of</strong> life 16/19<br />

No No <strong>Pain</strong>-free 5/18<br />

Improved 7/18<br />

Yes 35 BMR<br />

32 SR<br />

Improved: BMR<br />

29/35<br />

SR 23/32<br />

Yes 6/12 No Improved 4/12<br />

Unchanged 7/12<br />

Worsened 1/12<br />

BMR biologic mesh repair, Sr suture repair, Q questionnaire, PE physical examination<br />

a<br />

Includes noninguinal hernia surgery<br />

35 months (3–108<br />

months) Q<br />

32 bis 80 months,<br />

56 % phone-Q<br />

32 months (11–118<br />

months) Q

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