Formation of post-operative neuroma formation after laparoscopic surgery is not common. Its diagnosis is often missed because pain often mimics intra-abdominal pathology. In this paper, the authors report a case in which the severe pain resulting from the abovementioned neuroma was successfully treated by excision of neuroma and implant of the proximal stump into the adjacent muscle. The patient is a 20-year-old female who had laparoscopic surgery on her left kidney. Immediately after surgery, she started experiencing severe pain at the operative site that continued for 5 years. A recent nerve block of the thoracic-abdominal intercostal nerve deep in the abdominal wall immediately beneath the incision gave her temporary relief for a couple of weeks. The patient was operated on. The neuroma was identified in the scar tissue of the transversalis muscle. The neuroma was excised, and the proximal stump was buried in the adjacent muscle. After the operation, she was free of pain and continues to be free of pain at 6 months follow-up. Formation of neuroma with severe chronic abdominal pain can occur after laparoscopic surgery. Nerve block is a diagnostic study for this condition. Neuroma resection with burying the covering of the stump can result in the cure of the pain.

中文翻译：

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术后肋间胸腹神经神经瘤的手术治疗

腹腔镜手术后形成术后神经瘤的形成并不常见。它的诊断经常被遗漏，因为疼痛通常模仿腹腔内的病理学。在本文中，作者报告了一个病例，其中通过切除神经瘤并将近端残端植入邻近肌肉，成功治疗了上述神经瘤引起的剧烈疼痛。患者是一名 20 岁的女性，她的左肾接受了腹腔镜手术。手术后立即，她开始经历手术部位的剧烈疼痛，并持续了 5 年。最近对切口下方腹壁深处的胸腹肋间神经进行了神经阻滞，使她暂时缓解了几周。病人接受了手术。在横肌的疤痕组织中发现了神经瘤。切除神经瘤，将近端残端埋入相邻肌肉中。手术后，她没有疼痛，并在6个月的随访中继续无疼痛。腹腔镜手术后可形成伴有严重慢性腹痛的神经瘤。神经阻滞是这种情况的诊断研究。神经瘤切除与掩埋残肢的覆盖物可以治愈疼痛。