pijn groin pain inguinodynia
Conditions
Interventions
Patients are randomized between spinal and general anaesthesia. The
conventional protocols are used for the types of anaesthesia.
Sponsors
Maxima Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Patients aged >18 years suspected for a groin pain syndrome (based on patient history, physical examination and diagnostic injection (10cc lidocaine 1-2% with or without corticosteroids); - Persisting groin pain >=3 months; - Unacceptable pain levels (subjective by patient) despite one or several injections with local anaesthetics or other conservative treatments; - Groin pain with origin in one of the three inguinal nerves or inserted mesh; - Neurectomy and/or meshectomy by an open approach; - Informed consent obtained.
Exclusion criteria
Exclusion criteria: - Groin pain caused by intercostal neuralgia (lower abdominal cutaneous nerve entrapment syndrome (ACNES)); - Involvement of the lateral femoral cutaneous nerve; - Pregnancy; - Contra-indications for general or spinal anesthesia; - Indication for retroperitoneal neurectomy; - Cognitive impairment; - Malignancy; - Previous remedial surgery on same site in MMC; - Bilateral groin pain sugery; - ASA class >III; - Pre-existant neurological deficiency; - Inability to speak or understand the Dutch language.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are differences between the setting of anaesthesia regarding the origin of groin pain, types of remedial surgery, preoperative use of analgesics, direct and indirect costs of the intervention and complication rates. | — |
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is the reduction of postoperative pain, patient satisfaction and quality of life, on short ( | — |
Countries
Netherlands
Outcome results
None listed