Perioperative Medical Program to Optimize Nerve Regeneration After Robot-assisted Laparoscopic Neurolyses of Pudendal and/or Inferior Cluneal Nerves for Chronic Neuralgias: Results After 1-year Follow-up
Pudendal and inferior cluneal neuralgias are responsible for chronic pelvicperineal pain. These two neuralgias are associated in approximately 25% of cases. In the event of failure of first-line multimodal medical treatment, a mini-invasive robot-assisted laparoscopic decompression can be proposed. These surgeries carry the risk of neurapraxia, leading to a temporary increase in neuropathic pain and numbness in the nerve sensitive area, a motoric or neurovegetative disturbance (pudendal).
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Patients over 18 years old
* Patients presenting a pudendal and/or inferior cluneal neuralgias with failure of the medical treatment
* Patient having given consent after reading the information note
Exclusion Criteria:
* Inoperable patients (contraindications to anesthesia or surgery) surgical contraindications)
* Person deprived of liberty or under guardianship
* Person under court protection
* Pregnant or breast-feeding woman
* Minors
Primary outcome measure(s)
Evaluate the 1-year effectiveness of a perioperative medical program on the characteristics of neuropathic pain related to postoperative neurapraxia, following robot-assisted laparoscopic neurolyses of the pudendal and inferior cluneal nerves — Pré-operatively, and then post-operatively : every day the first month, then once a week until the 4th month then at 1 year year after surgery Numeric pain scale (0 "no pain" to 10 "maximal pain")
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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