Innovative management of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES): A meta-analysis and introduction of a new robotic approach with patient-based algorithm.
Am J SurgJul 1, 2026 (epub)
Clinical ResearchGeneral Surgery
Carlos Balthazar da Silveira, Snigdha Gulati, Robert Easter et al.
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In 30 seconds
This meta-analysis evaluated treatments for Anterior Cutaneous Nerve Entrapment Syndrome (ACNES), analyzing both non-operative and surgical outcomes. The study found a non-operative success rate of 35% and a surgical success rate of 94.45%, with a recurrence rate of 34.6% after surgery. A standardized management algorithm and nomenclature were proposed.
Key findings
- Non-operative success rate for ACNES was 35%.
- Surgical success rate reached 94.45%.
- Recurrence rate after the first surgery was 34.6%.
- Significant heterogeneity in definitions of neurectomies was observed.
Why it matters
Understanding the varying success rates of treatments for ACNES is crucial for clinicians to make informed decisions. The high recurrence rate after surgery highlights the need for individualized patient management based on symptom severity and expectations.