Abdominoinguinal pain syndrome treated by centrocentral anastomosis

During operations in the lower part of the abdomen injuries to nerves locat ed here arise in 1-4,2 per cent; the most frequently iliohypogastric, ilioi nguinal, genitofemoral and lateral femoral cutaneous nerves. These injuries to nerves are often very painful and till to day very difficult to treat. Clinical terminology of their injuries is variable and not strict. Therefor e we suggest an all embracing term "abdominoinguinal pain syndrome". The au thors present four case reports, in whom centrocentral anastomosis with use of both autologous interposed segment of nerve and also without it, achiev ed successful treatment of chronic pain. On the basis of this experience th e authors prefer centrocentral anastomosis without autologous interposed se gment of nerve, which is technicaly more simple.