Robot-Assisted Tailored Neurectomy in Chronic Postherniorrhaphic Inguinal Neuralgia: A Retrospective Analysis.

ABSTRACT:

Background

Chronic postoperative inguinal pain (CPIP) is a debilitating complication after hernia repair, often resistant to conservative therapy. Traditional triple neurectomy [resection of the ilioinguinal (IIN), iliohypogastric (IHN), and genitofemoral (GFN) nerves] faces challenges such as scar tissue reoperation and nerve identification. This prospective study evaluates the safety and efficacy of robot-assisted tailored neurectomy, leveraging 3D visualization for precision.

Methods

Ten consecutive patients (mean age: 46 years; 80% male) with refractory neuropathic groin pain (≥6 months) were enrolled at a university single-center (January-July 2024). Inclusion required preoperative nerve mapping, imaging (CT, MRI, and sonography) to exclude nonneuropathic causes, and fa

SUBMITTER: Alfarawan F 

PROVIDER: S-EPMC12727259 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature