Robot-assisted triple neurectomy for iatrogenic inguinal pain: a technical note.

BACKGROUND: Painful neuromas are a relatively common complication of hernia and abdominal wall surgery.

OBJECTIVE: Surgical neurectomy has the potential to to provide durable relief for chronic pain; however, current surgical approaches are not without morbidity or anatomical challenges.We sought a surgical alternative.

METHODS: In the treatment of a case of incapacitating inguinal pain, we performed an anterior transperitoneal approach using a surgical robot.

RESULTS: This approach was facile and provided elegant anatomical visualization.

CONCLUSION: This case describes the first known robot-assisted laparoscopic triple neurectomy and details a simplified, transperitoneal approach.