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).
Study Type
OBSERVATIONAL
Enrollment
20
UBOSGA
Bordeaux, France
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")
Time frame: 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
Report all complications during the follow-up
Complications are evaluated with Clavien-Dindo classification (Grade I to V(death))
Time frame: 2 days, 4 months, 1 year after surgery
Evaluate the effect of the surgical technique on anxiety
Anxiety is evaluated with STAI (State Trait Anxiety Inventory-form) (anxious personality since STAI score 51 for women, and score 61 for men)
Time frame: 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)
Time frame: 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
Time frame: 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)
Time frame: Pré-operatively, 2 days, 4 months, 1 year after surgery
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