ACNES Surgery Explained — Diagnosis, Technique and Near 100% Success Rate | Dr. Tim Tollestrup

Jackson was a teenager when he developed severe abdominal pain after an illness involving prolonged vomiting. The illness resolved. The abdominal wall pain did not. Dr. Tim Tollestrup suspected ACNES surgery was the answer before he even met the patient — because the history fit the classic pattern and a local anesthetic injection had already given Jackson temporary relief. That detail alone is nearly diagnostic. In this video, Dr. Tollestrup walks through how he confirms the ACNES surgery diagnosis with physical examination, identifies the trapped nerves, performs the procedure, and explains why the success rate for true anterior cutaneous nerve entrapment at the anterior sheath is close to 100%. Watch the full explanation below.