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Treatment of severe bilateral nerve pain after a panhandle incision

Important points

method

A method that was used in the nineteenth century but is still used today.

application

Even if the application is a bit outdated, many doctors are very satisfied with this method and have received good feedback from their patients.

therapy

The scars should definitely be treated well and professionally after the operation.

summary

The inferior transverse abdominal incision, described by Hermann Johannes Pfannenstiel, in which both skin and fascia were cut transversely, became popular in 1900. Nerve pain syndromes included debilitating pain with neuroma formation or scarring of the ilioinguinal or iliohypogastric nerves. We report the case of a patient who developed severe pain at the lateral edges of a Pfannenstiel incision. The diagnosis of nerve pain was made by infiltration of a local anesthetic, after which the pain immediately temporarily disappeared. Only complete excision of the scar and the affected part of the nerve stopped the pain.

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