Abstract
The lower transverse abdominal incision, as described by Hermann Johannes Pfannenstiel,
cutting both skin and fascia in a transverse fashion was popularized in 1900. Nerve
pain syndromes included invalidating pain involving neuroma formation or scar encasement
of the ilioinguinal or iliohypogastric nerves. We report a case of a female patient
who developed severe pain at the lateral wound edges of a Pfannenstiel incision. The
diagnosis of pain of nerve origin was made by infiltration of local anesthetic, after
which the pain immediately vanished temporarily. Only complete excision of the scar
and involved part of the nerve stopped the pain.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The bikini incision.Ned Tijdschr Geneeskd. 1998; 142: 1481-1483
- Nerve-entrapment syndromes from lower abdominal surgery.J Fam Pract. 1987; 25: 585-587
- Ilioinguinal-iliohypogastric nerve entrapment.Ann Emerg Med. 1990; 19: 925-929
Article info
Publication history
Accepted:
September 28,
2005
Received:
December 16,
2004
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
