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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).
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| Measure | Description | Time Frame |
|---|---|---|
| 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 | Numeric pain scale (0 "no pain" to 10 "maximal pain") | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Report all complications during the follow-up | Complications are evaluated with Clavien-Dindo classification (Grade I to V(death)) | 2 days, 4 months, 1 year after surgery |
| Evaluate the effect of the surgical technique on anxiety |
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This cohort study is a pilot study to 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
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Olivier Celhay, M.D | Contact | +33(0)5 56 11 61 44 | celhay.ubsg33@gmail.com | |
| Alexandra Dupire | Contact | +33(0)6 07 87 05 56 | arc.ubosga@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UBOSGA | Recruiting | Bordeaux | 33000 | France |
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Anxiety is evaluated with STAI (State Trait Anxiety Inventory-form) (anxious personality since STAI score 51 for women, and score 61 for men)
| Pré-operatively, 2 days, 4 months, 1 year after surgery |
| Evaluate the effect of the surgical technique on depression | Depression is evaluated with Beck inventory (mild to moderate depression since score 10, moderate depression since score 19, severe depression since score 30) | Pré-operatively, 2 days, 4 months, 1 year after surgery |
| Evaluate the effect of the surgical technique on post-traumatic stress syndrome | Post-traumatic stress syndrome is evaluated with PCL-5 (post-traumatic stress disorder checklist with a PTSD since score 38 | Pré-operatively, 2 days, 4 months, 1 year after surgery |
| Evaluate the impact on quality of life | Quality of life is evaluated with SF-36 (36-item Short Form Health Survey) | Pré-operatively, 2 days, 4 months, 1 year after surgery |
| ID | Term |
|---|---|
| D060545 | Pudendal Neuralgia |
| D009437 | Neuralgia |
| ID | Term |
|---|---|
| D009408 | Nerve Compression Syndromes |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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