Interventional Rehabilitation Approach in Anterior Cutaneous Nerve Entrapment Syndrome Post Nephrectomy-A Case Report

Authors

  • Sharad kumar Kedia, Mohammad Sidiq, Nitesh Manohar Gonnade, Shaik Balkhis Banu, Sai Jaya Prakash CH, Mahendra Yadav

DOI:

https://doi.org/10.47750/pnr.2023.14.S01.95

Abstract

Introduction: Chronic refractory abdominal pain may be caused by anterior cutaneous nerve entrapment syndrome (ACNES) may require surgery in up to 70% of patients to provide long-term pain relief. Entrapment of sensory branches of nerve roots (T7–T12) can occur due to raised intra or extra abdominal pressure; long operative abdominal scars. There are no known factors that predict outcome after an anterior neurectomy. However conservative interventional management is a safe and effective remedy for ACNES.

Objective: To evaluate the effect of ultrasound guided hydro-dissection of anterior cutaneous nerve entrapment in refractory pain.

Case description: A 62-year-old man who had undergone a robotic laparoscopic partial nephrectomy presented with pain in the left periumbilical region for more than 8 months duration, with no relief from medications and transcutaneous electrical nerve stimulation. He was diagnosed with ACNES.

Intervention: An ultrasound-guided hydro-dissection of the abdominal anterior cutaneous nerves (T9, T10, and T11) was performed. Baseline measurements of the pain and quality of life were considered before and after the procedure. Outcome measures demonstrated improved quality of life, patient’s satisfaction score and complete pain relief after follow up at 2 weeks, 3 months, 6 months, and 1 year.

Conclusion: An ultrasound guided hydro-dissection procedure is a safe, easy to perform, and effective intervention for ACNES.

 

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Published

— Updated on 2023-01-22

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How to Cite

Interventional Rehabilitation Approach in Anterior Cutaneous Nerve Entrapment Syndrome Post Nephrectomy-A Case Report. (2023). Journal of Pharmaceutical Negative Results, 697-699. https://doi.org/10.47750/pnr.2023.14.S01.95