S-Space College of Medicine/School of Medicine (의과대학/대학원) Anesthesiology and Pain Medicine (마취통증의학전공) Journal Papers (저널논문_마취통증의학전공)
C-arm-guided pudendal nerve block: a new technique
- Choi, S. S.; Lee, P. B.; Kim, Y. C.; Kim, H. J.; Lee, S. C.
- Issue Date
- Blackwell Publishing
- Int J Clin Pract. 2006 May;60(5):553-6.
- Adult; Aged; Female; Fluoroscopy; Humans; Male; Middle Aged; Nerve Block/*methods; Neuralgia/radiography/*therapy; Perineum/innervation
- Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)- or sono-guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconvenience. To overcome these limitations, we first tried C-arm-guided approach for accomplishing PNB in the prone position. Under the optimal ischial spine view of C-arm fluoroscopy, the block needle was placed on the tip of the ischial spine. Then a mixed solution for the block was administered. All of the 25 patients enrolled in this study were blocked successfully using this method. No side-effects or complications were observed in relation to the block. We concluded that the C-arm-guided approach for PNB is an effective alternative to the existing techniques, which can overcome their limitations.
- 1368-5031 (Print)
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