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

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).

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