Review Article

How Do We Treat Children with Anterior Cutaneous Nerve Entrapment Syndrome and Is the Biopsychosocial Model Also Being Applied? A Scoping Review

Table 2

Outcome after surgical treatment.

Author and yearStudy typeNumber of patientsAge (years)ObjectiveDuration of complaint before surgery (months)
Median (range)
Treatment applied before surgerySurgery techniqueEffectFollow-up (months)Second surgeryEffect Second surgery

Armstrong 2018Retrospective case series2615 (13.8–17.3)To evaluate the safety and efficacy of neurectomy for ACNES in children15 (8–29)Oral medicationAnterior neurectomy15 (58%) pain-free26 (15–36)41 (25%) pain-free
TAP block with local anesthetic + steroid11 (42%) recurrent pain

Bairdain 2015Retrospective case series914 (10–19)To report on an entity known as anterior cutaneous nerve entrapment syndrome (ACNES) and its relevance to chronic abdominal pain encountered in children10 (0.5–60)TAP block with local anesthetic and/or steroid (1–5)9 (1 patient still on narcotics)9 (1–30)

Omura 2019Case report1163Oral medication injections with local anestheticPercutaneous neurectomyRecurrent pain within 1 month25Laparoscopic resection proximal part nervePain-free 2 years

Scheltinga 2011Prospective case series615 (9–16)To describe the results of a surgical technique termed “anterior cutaneous neurectomy” in children with refractory ACNES4Oral medication?
Injections with local anesthetic + steroids
Anterior neurectomy6 (100%) pain-free6

Siawash 2016Cross-sectional cohort715 (SD 2)To investigate the rate of ACNES in a paediatric outpatient cohort with chronic abdominal pain?Oral medicationAnterior neurectomy6 (86%) pain-free4–6 weeks
Injections with local anesthetic + steroids

Siawash 2017 (ped surgery)Prospective case series6015 (SD 2)To investigate the safety and short-term success rate of anterior neurectomy in a large paediatric population with ACNES<6 (1–48)Oral medication?
Injections with local anesthetic + steroids
Anterior neurectomy78%4–6 weeks

Yokoyama 2019Case report1166Trigger point injectionNeurectomyNo follow-up

Zganjer 2013Retrospective case series515 (11–17)The surgery for abdominal wall pain caused by cutaneous nerve entrapment in children during the past 5 years?Local anesthetic ± steroidNeurectomy?No follow-up