Treatment of genitofemoral neuralgia after laparoscopic inguinal herniorrhaphy with fluoroscopically guided tack injection

Objective. This report illustrates that genitofemoral. neuralgia can result from laparoscopic inguinal. herniorrhaphy and offers a management strategy for this pain syndrome. Design. A patient experienced pain in the distribution of the genitofemoral nerve after laparoscopic herniorrhaphy. Under fluoroscopy, the point of ma ximal tenderness was elicited and was found to be at the site of a surgical tack placed during the hernia repair., A genitofemoral nerve block was per formed at the site of the surgical tack. This resulted in complete resoluti on of pain symptoms. Results The patient's treatment and recovery are described. Conclusions. Recognition and proper diagnosis of genitofemoral neuralgia af ter laparoscopic herniorrhaphy may result in appropriate therapy and hasten recovery.