Intraperitoneal onlay mesh reinforcement of the abdominal wall: a new surgical option for treatment of anterior cutaneous nerve entrapment syndrome—a retrospective cohort analysis of 30 consecutive patients

Stirler, Vincent; Raymakers, J.T.; Rakic, S.

doi:10.1007/s00464-015-4533-y

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…Stirler et al29 suggested that intraperitoneal onlay mesh reinforcement may prevent the entrapment of anterior cutaneous nerves of the neurovascular bundle in patients with refractory ACNES. All 40 patients who participated in the study had a prior injection of a local anesthetic combined with a corticosteroid (>2 consecutive injections at the relevant trigger point), but there was no permanent relief in 30 of them.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Anterior cutaneous nerve entrapment syndrome: management challenges

Chrona¹,

Kostopanagiotou²,

Damigos³

et al. 2017

JPR

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Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly underdiagnosed and undertreated chronic state of pain. This syndrome is characterized by the entrapment of the cutaneous branches of the lower thoracoabdominal intercostal nerves at the lateral border of the rectus abdominis muscle, which causes severe, often refractory, chronic pain. This narrative review aims to identify the possible therapeutic strategies for the management of the syndrome. Seventeen studies about ACNES therapy were reviewed; of them, 15 were case–control studies, case series, or case reports, and two were randomized controlled trials. The presently available management strategies for ACNES include trigger point injections (diagnostic and therapeutic), ultrasound-guided blocks, chemical neurolysis, and surgical neurectomy, in combination with systemic medication, as well as some emerging techniques, such as radiofrequency ablation and neuromodulation. An increased awareness of the syndrome and the use of specific diagnostic criteria for its recognition are required to facilitate an early and successful management. This review compiles the proposed management strategies for ACNES.

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Section: Surgical Techniquesmentioning

confidence: 99%

Anterior cutaneous nerve entrapment syndrome: management challenges

Chrona¹,

Kostopanagiotou²,

Damigos³

et al. 2017

JPR

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“…7/10 on a numerical scale. Pain is usually described as sharp, although descriptions vary, and occurs predominantly on the right side (61%, 62%, 63%, 68%, and 74%, respectively) (4,15,19,22,23); however, many left-sided bilateral cases have been reported (12,24). The reason for the higher prevalence of right-sided ACNES than left-sided remains unclear; however, it could be inferred that it is more common on the right side because of the global prevalence of right-handed individuals and the fact that many people exert more effort on their right side.…”

Section: Study Selectionmentioning

confidence: 99%

Three Subtypes of Cutaneous Nerve Entrapment Syndrome: A Narrative Review

Otsuka,

Ishizuka,

Harada

et al. 2024

Intern. Med.

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Anterior, lateral, and posterior cutaneous nerve entrapment syndromes have been proposed as etiologies of trunk pain. However, while these syndromes are analogous, comprehensive reports contrasting the three subtypes are lacking. We therefore reviewed the literature on anterior, lateral, and posterior cutaneous nerve entrapment syndrome. We searched the PubMed and Cochrane Library databases twice for relevant articles published between March and September 2022. In addition to 16 letters, technical reports, and review articles, a further 62, 6, and 3 articles concerning anterior, lateral, and posterior cutaneous nerve entrapment syndromes, respectively, were included. These syndromes are usually diagnosed based solely on unique history and examination findings; however, the diagnostic process may be prolonged, and multiple re-evaluations are required. The most common first-line treatment is trigger point injection; however, the management of refractory cases remains unclear. Awareness of this disease should be expanded to medical departments other than general medicine.

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