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Genitofemoral block

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https://www.readbyqxmd.com/read/27900771/laparoscopic-guided-psoas-blockade-as-a-novel-analgesic-method-during-inguinal-herniorrhaphy-a-clinical-trial
#1
T F Tammam, A F Salama
BACKGROUND: Under laparoscopic guidance, block of ilioinguinal, iliohypogastric, and genitofemoral nerves can be possible with anesthetic injection in the plane between psoas major and the fasciae covering its anterior aspects [laparoscopic-assisted psoas (LAP) blockade]. This observer-blinded trial aimed to compare the opioid-sparing effect of LAP block with transversus abdominis plane (TAP) block after laparoscopic inguinal herniorrhaphy. METHODS: Forty-five male patients were randomly assigned to receive LAP block, group LAP (n = 23), or ultrasound-guided TAP block, group TAP (n = 22)...
November 30, 2016: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/27618322/ct-guided-perineural-injections-for-chronic-pelvic-pain
#2
Vibhor Wadhwa, Kelly M Scott, Shai Rozen, Adam J Starr, Avneesh Chhabra
Chronic pelvic pain is a disabling condition that affects a large number of men and women. It may occur after a known inciting event, or it could be idiopathic. A common cause of pelvic pain syndrome is neuropathy of the pelvic nerves, including the femoral and genitofemoral nerves, ilioinguinal and iliohypogastric nerves, pudendal nerve, obturator nerve, lateral and posterior femoral cutaneous nerves, inferior cluneal nerves, inferior rectal nerve, sciatic nerve, superior gluteal nerve, and the spinal nerve roots...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27568492/perineural-bupivacaine-injection-reduces-inguinodynia-after-inguinal-hernia-repair
#3
Joseph G Crompton, Aaron J Dawes, Graham W Donald, Masha J Livhits, Charles F Chandler
BACKGROUND: Inguinodynia, defined as pain lasting >3 months after inguinal hernia repair, remains the major complication of hernia operation. We sought to determine the effect of direct perineural infiltration on acute pain and inguinodynia after open inguinal hernia repair. METHODS: Patients who presented with an inguinal hernia at a university teaching hospital were evaluated prospectively and randomized to either (1) percutaneous ilioinguinal nerve block or (2) percutaneous ilioinguinal nerve block with additional perineural infiltration of the ilioinguinal, iliohypogastric, genitofemoral nerves...
December 2016: Surgery
https://www.readbyqxmd.com/read/27526054/spinal-cord-stimulation-for-intractable-testicular-pain-case-report-and-review-of-the-literature
#4
Michael P Kiritsy, Jason W Siefferman
OBJECTIVE: Treating chronic testicular pain is often challenging, and few treatment options have been reported. We report a case of intractable testicular pain successfully treated with spinal cord stimulation (SCS). CASE: A 59-year-old male with a 40-year history of bilateral testicular pain after ruptured epididymitis presented for consultation after failing multiple medical and surgical treatments. Repeat genitofemoral nerve block gave him temporary relief. SCS trial to target this distribution resulted in complete pain relief, and the patient was referred for implantation...
August 15, 2016: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/27487311/transversus-abdominis-plane-versus-ilioinguinal-and-iliohypogastric-nerve-blocks-for-analgesia-following-open-inguinal-herniorrhaphy
#5
Anatoli Stav, Leonid Reytman, Michael-Yohay Stav, Anton Troitsa, Mark Kirshon, Ricardo Alfici, Mickey Dudkiewicz, Ahud Sternberg
OBJECTIVES: We hypothesized that preoperative (pre-op) ultrasound (US)-guided posterior transversus abdominis plane block (TAP) and US-guided ilioinguinal and iliohypogastric nerve block (ILI+IHG) will produce a comparable analgesia after Lichtenstein patch tension-free method of open inguinal hernia repair in adult men. The genital branch of the genitofemoral nerve will be blocked separately. METHODS: This is a prospective, randomized, controlled, and observer-blinded clinical study...
July 28, 2016: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/26955321/successful-management-of-a-refractory-case-of-postoperative-herniorrhaphy-pain-with-extended-duration-pulsed-radiofrequency
#6
D Thapa, V Ahuja, P Verma, C Das
Chronic postsurgical pain (CPSP) is a distressful condition following hernia surgery. A 25-year-old, 55 kg male patient presented with severe pain on the right side of the lower abdomen that radiated to the testicle and the inner side of the thigh. Patient was symptomatic since 5 months following inguinal herniorrhaphy surgery. The pain was not relieved with pharmacological and interventional nerve blocks. An ultrasound-guided ilioinguinal-iliohypogastric (II-IH) block with extended duration (42°C, four cycles of 120 s each) pulsed radiofrequency (PRF) and a diagnostic genital branch of genitofemoral nerve (GGFN) block provided pain relief...
January 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26452068/evidence-of-vagus-nerve-sprouting-to-innervate-the-urinary-bladder-and-clitoris-in-a-canine-model-of-lower-motoneuron-lesioned-bladder
#7
Mary F Barbe, Sandra Gomez-Amaya, Alan S Braverman, Justin M Brown, Neil S Lamarre, Vicky S Massicotte, Jennifer K S Lewis, Stephen R Dachert, Michael R Ruggieri
AIMS: Complete spinal cord injury does not block perceptual responses or inferior solitary nucleus activation after genital self-stimulation, even though the vagus is not thought to innervate pelvic structures. We tested if vagus nerve endings sprout after bladder decentralization to innervate genitourinary structures in canines with decentralized bladders. METHODS: Four reinnervation surgeries were performed in female hounds: bilateral genitofemoral nerve transfer to pelvic nerve with vesicostomy (GNF-V) or without (GFN-NV); and left femoral nerve transfer (FNT-V and FNT-NV)...
October 9, 2015: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/25612206/ultrasound-guided-transversus-abdominis-plane-genitofemoral-blocks-for-a-patient-receiving-extracorporeal-life-support
#8
Laurent Brisard, Mustapha Belaidi, Philippe Bizouarn, Athanase Courbe, Jean-Christian Roussel, Bertrand Rozec
Extracorporeal life support may be used in patients with refractory cardiogenic shock. The femoral venoarterial route can be used for implanting cannulae in patients who are hemodynamically unstable. Here we describe the use of an ultrasound-guided transversus abdominis plane block supplemented with the femoral component of the genitofemoral nerve as the anesthesia technique for peripheral cannulation of the femoral vessels in a patient with severe acute heart failure after myocardial infarction with ST-segment elevation...
June 15, 2014: A & A Case Reports
https://www.readbyqxmd.com/read/25406057/computed-tomographic-guided-genitofemoral-nerve-block-a-simple-anterior-approach
#9
Robert J Hackworth, Erik J Nagel, James G Slotto
Chronic groin pain, often as a consequence from surgery, is a challenge from both a diagnostic and treatment standpoint. Interventional therapy is often attempted.Genitofemoral nerve block can be used for the diagnosis and treatment of groin pain. Classically, this nerve is blocked blindly at the level of the pubic tubercle, or more recently, with ultrasound. We present a novel technique to blocking the genitofemoral nerve in males using an anterior approach with computed tomographic guidance.
March 2015: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/25377757/genitofemoral-neuralgia-a-review
#10
REVIEW
Alper Cesmebasi, Abhishek Yadav, Jerzy Gielecki, R Shane Tubbs, Marios Loukas
Genitofemoral neuralgia is a cause of neuropathic pain that is often debilitating in nature. It is characterized by chronic neuropathic groin pain that is localized along the distribution of the genitofemoral nerve. The symptoms include groin pain, paresthesias, and burning sensation spreading from the lower abdomen to the medial aspect of the thigh. It may present with scrotal pain in male, while females experience symptoms radiating to the labia majora and mons pubis. Genitofemoral neuropathy has been attributed to iatrogenic nerve injury occurring during inguinal and femoral herniorrhaphy, with cases developing after both open and laparoscopic techniques...
January 2015: Clinical Anatomy
https://www.readbyqxmd.com/read/24843352/ultrasound-guided-pulsed-radiofrequency-ablation-of-the-genital-branch-of-the-genitofemoral-nerve-for-treatment-of-intractable-orchalgia
#11
Abdullah Sulieman Terkawi, Kamel Romdhane
Chronic orchalgia is a frustrating clinical problem for both the patient and the physician. We present a 17-year-old boy with a bilateral idiopathic chronic intractable orchalgia with failed conservative treatment. For 2 years, he suffered from severe attacks of scrotal pain that affected his daily activities and caused frequent absence from school. Ultrasound-guided pulsed radiofrequency ablation (PRF) of the genital branches of the genitofemoral nerve performed after local anesthetic nerve block confirmed the diagnosis and yielded 6 weeks of symptom relief...
April 2014: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/24804105/successful-treatment-of-genitofemoral-neuralgia-using-ultrasound-guided-injection-a-case-report-and-short-review-of-literature
#12
Harsha Shanthanna
A young male patient developed chronic, severe, and disabling right sided groin pain following resection of his left testicular cancer. Since there is considerable overlap, ultrasound guided, selective diagnostic nerve blocks were done for ilioinguinal, iliohypogastric, and genitofemoral nerves, to determine the involved nerve territory. It was revealed that genitofemoral neuralgia was the likely cause. As a therapeutic procedure, it was injected with local anesthetic and steroid using ultrasound guidance. The initial injection led to pain relief of 3 months...
2014: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/24554547/susceptibility-of-the-genitofemoral-and-lateral-femoral-cutaneous-nerves-to-complications-from-lumbar-sympathetic-blocks-is-there-a-morphological-reason
#13
G C Feigl, M Dreu, H Ulz, C Breschan, C Maier, R Likar
BACKGROUND: Interference with the function of the genitofemoral nerve (GFN) and lateral femoral cutaneous nerve (LFCN) represents a significant complication of lumbar sympathetic blocks (LSBs). The nerve topography of the lumbar sympathetic trunk (LST) was investigated to find a possible morphological reason for this. METHODS: A total of 118 cadavers embalmed by Thiel's method were investigated. The nerves were dissected from their innervation area to their paravertebral origins...
June 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/24310458/management-of-medically-intractable-genitofemoral-and-ilioingunal-neuralgia
#14
Feridun Acar, Mevci Ozdemir, Fatih Bayrakli, Bayram Cirak, Erdal Coskun, Kim Burchiel
AIM: To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia. MATERIAL AND METHODS: This is a prospective study of 20 patients with genitofemoral and ilioinguinal neuralgias who were treated at our medical center between 2007 and 2011. Genitofemoral and ilioinguinal nerve blocks were performed in all cases after medical treatment had failed to alleviate the patients' pain. Neurectomy was performed for the patients whose pain did not improve...
2013: Turkish Neurosurgery
https://www.readbyqxmd.com/read/23877455/permanent-lesion-of-the-lateral-femoral-cutaneous-nerve-after-low-volume-ethanol-96-application-on-the-lumbar-sympathetic-chain
#15
Werner Pennekamp, Elena K Krumova, Georg Pd Feigl, Elke Frombach, Volkmar Nicolas, Andreas Schwarzer, Christoph Maier
Lumbar sympathetic blocks and chemical sympathectomies are used for the pain treatment of peripheral arterial occlusive disease or sympathetically maintained pain syndrome after nerve injury or complex regional pain syndrome (CRPS). A 30-year-old patient was referred to the pain department with all the clinical signs and symptoms of a CRPS of the right foot one and a half years after being surgically treated for rupture of the achilles tendon. An inpatient admission was necessary due to insufficient pain reduction upon the current treatment, strong allodynia in the medial distal right lower leg and decreased load-bearing capacity of the right foot...
July 2013: Pain Physician
https://www.readbyqxmd.com/read/22613308/the-genitofemoral-nerve-block-a-method-for-hemiscrotal-anaesthesia-at-the-bedside
#16
M Pankhania, S Ali
No abstract text is available yet for this article.
May 2012: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/22270427/genitofemoral-and-perineal-neuralgia-after-transobturator-midurethral-sling
#17
Brent A Parnell, Elisabeth A Johnson, Denniz A Zolnoun
BACKGROUND: Midurethral slings successfully treat stress urinary incontinence through a minimally invasive vaginal approach. Postoperative pain related to sling placement can occur and poses both diagnostic and treatment dilemmas. CASE: Four years after transobturator midurethral sling placement, the patient presented with complaints of left labial pain and dyspareunia since surgery. Using sensory mapping and a nerve stimulator, the problem was identified in the distribution of the genitofemoral nerve...
February 2012: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/21336213/laparoscopic-triple-neurectomy-for-intractable-groin-pain-technical-report-of-3-cases
#18
Jae W Song, J Stuart Wolf, John E McGillicuddy, Sandeep Bhangoo, Lynda J-S Yang
BACKGROUND: Neuropathic groin pain can be a severely debilitating condition. Triple neurectomy of the ilioinguinal, iliohypogastric, and genitofemoral nerves is a viable treatment option. OBJECTIVE: To present our initial experience with the laparoscopic retroperitoneal approach to triple neurectomy. METHODS: Three patients (33 to 48 years of age) presented with chronic groin pain of 3 to 7 years' duration. The discomfort manifested in the ilioinguinal, iliohypogastric, and genitofemoral nerve distributions and severely affected their lifestyles, resulting in multiple unsuccessful medical and surgical treatments without symptomatic relief...
June 2011: Neurosurgery
https://www.readbyqxmd.com/read/21056387/-somatic-nerve-block-in-the-management-of-chronic-pelvic-and-perineal-pain
#19
REVIEW
J Rigaud, T Riant, D Delavierre, L Sibert, J-J Labat
INTRODUCTION: Chronic pelvic and perineal pain can be related to a nerve lesion caused by direct or indirect trauma or by an entrapment syndrome, which must then be demonstrated by a test block. The purpose of this article is to review the techniques and modalities of somatic nerve block in the management of chronic pelvic and perineal pain. MATERIAL AND METHODS: A review of the literature was performed by searching PubMed for articles on somatic nerve infiltrations in the management of chronic pelvic and perineal pain...
November 2010: Progrès en Urologie
https://www.readbyqxmd.com/read/21056374/-symptomatic-approach-to-chronic-neuropathic-somatic-pelvic-and-perineal-pain
#20
REVIEW
J-J Labat, R Robert, D Delavierre, L Sibert, J Rigaud
OBJECTIVES: To determine the characteristics of neuropathic pain and the somatic nerve lesions most frequently encountered in the context of chronic pelvic and perineal pain. MATERIAL AND METHODS: Review of the literature devoted to pelvic and perineal neuralgia. RESULTS: The diagnosis of pelvic and perineal pain related to a somatic nerve lesion is essentially clinical. The topography of the pain and its characteristics (burning, paraesthesia, etc...
November 2010: Progrès en Urologie
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