Publications by authors named "Robbert Maatman"

Purpose: Patients with anterior cutaneous nerve entrapment syndrome (ACNES) often require a step-up treatment strategy including abdominal wall injections, pulsed radiofrequency (PRF) or a neurectomy. Long-term success rates of PRF and surgery are largely unknown. The aim of the current study was to report on the long-term efficacy of PRF and neurectomy in ACNES patients who earlier participated in the randomized controlled PULSE trial.

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Background: Chronic abdominal pain can be due to entrapped intercostal nerves (anterior cutaneous nerve entrapment syndrome [ACNES]). If abdominal wall infiltration using an anesthetic agent is unsuccessful, a neurectomy may be considered. Pulsed radiofrequency (PRF) applies an electric field around the tip of the cannula near the affected nerve to induce pain relief.

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Article Synopsis
  • Chronic back pain (CBP) can stem from various issues such as muscle dysfunction or nerve compression, with a specific case of posterior cutaneous nerve entrapment syndrome (POCNES) showing successful treatment outcomes.
  • In a study from 2013 to 2016 involving Dutch hospitals, 14 patients diagnosed with POCNES received lidocaine injections; 81% experienced significant pain relief, while 64% of those who underwent surgical neurectomy reported successful long-term outcomes.
  • The findings suggest that POCNES should be included in the diagnosis for chronic back pain, and a treatment approach involving injections and potential surgery could lead to significant pain relief and improved patient satisfaction.
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Objective: The aim of this study was to discuss patient history and subjective findings at physical examination in a large case series to validate a proposed comprehensive set of major and minor diagnostic criteria.

Summary Background Data: Chronic abdominal pain in some patients is caused by the anterior cutaneous nerve entrapment syndrome (ACNES). ACNES is a clinical diagnosis as no functional testing or imaging modalities are available up to date.

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Background And Objectives: Mirror-image pain may occur in the presence of a one-sided peripheral nerve lesion leading to a similar distribution of pain on the contralateral side of the body ("mirrored"). Anterior cutaneous nerve entrapment syndrome (ACNES) is a neuropathic pain syndrome due to entrapment of terminal branches of intercostal nerves T7-12 in the abdominal wall and sometimes presents bilaterally. This study aims to address specifics of bilateral ACNES and to determine potential differences in clinical presentation and treatment outcomes when compared with the unilateral form of ACNES.

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Background: Chronic abdominal pain is occasionally due to entrapped intercostal nerve endings (ACNES, abdominal cutaneous nerve entrapment syndrome). If abdominal wall infiltration using an anesthetic agent is unsuccessful, a neurectomy may be considered. Pulsed radiofrequency (PRF) is a relatively new treatment option for various chronic pain syndromes.

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Background And Aims: Chronic abdominal pain may occasionally be due to terminal endings of intercostal nerves (ACNES, abdominal cutaneous nerve entrapment syndrome) that are entrapped in the abdominal wall. Spontaneous neuropathic flank pain may also be caused by involvement of branches of these intercostal nerves. Aim is to describe a series of patients with flank pain due to nerve entrapment and to increase awareness for an unknown condition coined Lateral Cutaneous Nerve Entrapment Syndrome (LACNES).

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Article Synopsis
  • Some patients with chronic abdominal pain may have anterior cutaneous nerve entrapment syndrome (ACNES), which can be treated through local anesthetic injections or surgery like neurectomy.
  • *The study compares the effectiveness of pulsed radiofrequency (PRF) treatment with neurectomy in ACNES patients who have not found lasting relief from injections, tracking pain relief and patient satisfaction over an 8-week period.
  • *This trial aims to provide evidence for minimally invasive options like PRF, potentially reducing the need for surgical interventions in managing ACNES.*
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Introduction: Anterior cutaneous nerve entrapment syndrome (ACNES) is a relatively unknown cause of severe neuralgic abdominal pain. Treatment includes medication, local nerve blocks or, if unresponsive, a neurectomy of nerve endings. In children, the outcome of neurectomy for ACNES is scantly described in retrospective studies.

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Background And Objective: Obesity is associated with increased dyspnoea and reduced health status in patients with chronic obstructive pulmonary disease (COPD). Studies on the effects of obesity on exercise capacity showed divergent results. The objective of this study is to investigate the impact of obesity on weight-bearing versus weight-supported exercise tolerance in obese and normal weight patients, matched for age, gender and degree of airflow limitation.

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