{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:50:08Z","timestamp":1773233408175,"version":"3.50.1"},"reference-count":22,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_sjpain-2025-0030_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Chronic flank pain is occasionally due to entrapped lateral end branches of intercostal nerves (lateral cutaneous nerve entrapment syndrome, LACNES). If local injection therapy fails, a neurectomy may be considered. The literature on LACNES is limited to case reports and a small case series. Aim of the present study is to determine short- and long-term success rates of a neurectomy in a large group of patients with LACNES.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2025-0030_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All adult patients who underwent a neurectomy for LACNES between January 2012 and December 2022 in a single centre of expertise were asked to complete a questionnaire regarding their current pain levels. Primary objectives were short-term (6\u201312\u00a0weeks postoperatively) and long-term (&gt;6\u00a0months postoperatively) treatment outcome. A successful outcome was defined as a minimal 50\u202f% pain reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2025-0030_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data from 54 of 69 operated patients (81\u202f% female, mean age 47\u00a0years) were analysed (78\u202f% response rate). Baseline characteristics of responders and non-responders were not different. A 67\u202f% short-term success rate was observed (n=36). Long-term outcome remained successful in 23 patients (43\u202f%, mean follow-up 23\u00a0months). Ten patients had minor complications (delayed wound healing n=6, hematoma n=3, deep vein thrombosis n=1; all recovered after conservative treatment).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2025-0030_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>If local injection therapy fails in LACNES, a lateral neurectomy should be discussed. Approximately half of patients report success on the long-term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2025-0030_abs_005\">\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>The Local Medical Ethics Committee of M\u00e1xima Medical Centre number N20.125.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2025-0030","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T16:32:16Z","timestamp":1773160336000},"source":"Crossref","is-referenced-by-count":0,"title":["Success rates of a surgical neurectomy for lateral cutaneous nerve entrapment syndrome (LACNES)"],"prefix":"10.1515","volume":"26","author":[{"given":"Monica L.Y.E.","family":"Jacobs","sequence":"first","affiliation":[{"name":"Department of Surgery , M\u00e1xima Medical Centre , Eindhoven\/Veldhoven , The Netherlands"},{"name":"SolviM\u00e1x, Centre of Expertise for Complex Groin and Abdominal Wall Surgery, M\u00e1xima Medical Centre , Eindhoven , The Netherlands"},{"name":"NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University , Maastricht , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willem A.R.","family":"Zwaans","sequence":"additional","affiliation":[{"name":"Department of Surgery , M\u00e1xima Medical Centre , Eindhoven\/Veldhoven , The Netherlands"},{"name":"SolviM\u00e1x, Centre of Expertise for Complex Groin and Abdominal Wall Surgery, M\u00e1xima Medical Centre , Eindhoven , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc R.M.","family":"Scheltinga","sequence":"additional","affiliation":[{"name":"Department of Surgery , M\u00e1xima Medical Centre , Eindhoven\/Veldhoven , The Netherlands"},{"name":"SolviM\u00e1x, Centre of Expertise for Complex Groin and Abdominal Wall Surgery, M\u00e1xima Medical Centre , Eindhoven , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudi M.H.","family":"Roumen","sequence":"additional","affiliation":[{"name":"Department of Surgery , M\u00e1xima Medical Centre , Eindhoven\/Veldhoven , The Netherlands"},{"name":"SolviM\u00e1x, Centre of Expertise for Complex Groin and Abdominal Wall Surgery, M\u00e1xima Medical Centre , Eindhoven , The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"2026031016321077891_j_sjpain-2025-0030_ref_001","unstructured":"Carnettt, J. Intercostal neuralgia as a cause of abdominal pain and tenderness. Surg Gynecol Obstet 1926:625\u201332."},{"key":"2026031016321077891_j_sjpain-2025-0030_ref_002","unstructured":"Applegate, WV. Lateral cutaneous nerve entrapment. J\u00a0Fam Pract 1990;31:212."},{"key":"2026031016321077891_j_sjpain-2025-0030_ref_003","unstructured":"Applegate, WV. Abdominal cutaneous nerve entrapment syndrome. Surgery 1972;71:118\u201324."},{"key":"2026031016321077891_j_sjpain-2025-0030_ref_004","doi-asserted-by":"crossref","unstructured":"Maatman, RC, Papen-Botterhuis, NE, Scheltinga, MRM, Roumen, RMH. Lateral cutaneous nerve entrapment syndrome (LACNES): a previously unrecognized cause of intractable flank pain. 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