Re: "Nerve Entrapment"

From: Larry Glazerman (l.glazerman@rcn.com)
Fri Sep 14 19:25:00 2007


Interestingly enough, I have a patient right now, on whom I did a very straightforward LSH, who has significant left abdominal wall pain, starting at the LLQ incision site (which the only one with a fascial stitch), going toward the groin and leg. She has had relief from trigger point injections, and I'm considering re-exploring the LLQ incision for presumptive "nerve entrapment."

--
Larry R. Glazerman, MD, FACOG
St. Luke's Center for Advanced Gynecologic Care
250 Cetronia Road
Suite 305
Allentown PA 18104
484-223-3279
484-223-2830 FAX
glazerl@slhn.org

On Sep 14, 2007, at 8:48 AM, Lynn Montgomery wrote:

> Listers, > Over the past couple of weeks, in our facility, there have been two > patients who have been taken back to the OR following a cesarean > section, for “nerve entrapment” in the cesarean incision, causing > severe pain. Maybe it is because I have only been doing this for > 19 years, not counting residency, but I have never heard of this. > As a matter of fact, I think I can say that “nerve entrapment” > wouldn’t even enter my differential for severe pain following a > cesarean section. > > Can someone enlighten me here – has anybody else heard of this. > Distant from any surgery, following scar formation, with > significant, persistent incisional pain, I have considered “nerve > entrapment”, but not in the first few days following surgery… > Lynn > > Lynn D. Montgomery, M.D. > Obstetrics & Gynecology, Maternal-Fetal Medicine > The Birth Center/Rocky Mountain Women's Health > 1211 S. Reserve St. > Missoula, Montana, 59801 > 406-549-0978 > fax 406-549-0987 > e-mail: apgar10@thebirthcentermt.com >





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