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August 1930


Arch Surg. 1930;21(2):289-299. doi:10.1001/archsurg.1930.01150140106003

A considerable number of patients complain of postoperative soreness in the region of their scars, often of enough severity to interfere with the pursuance of their daily routine. Some of these conditions are often diagnosed as postoperative adhesions. Frequently, at secondary exploration, insufficient pathologic change is found to account for the symptomatology. A diagnosis of neurasthenia may be made as a result. It is my opinion that a certain number of these cases may be due to neuromas in the abdominal scar.

The literature in regard to neuromas or neuritis of the abdominal scars is scant, and it seems of sufficient import to review what literature there is and to report four cases which tend to show that this condition is more prevalent than is generally believed.

The microscopic proof of this lesion is extremely difficult, as the nerves traversing the scar tissue are extremely small and their identification in

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