Accurate obturator nerve block in transurethral surgery

Urology ◽  
1985 ◽  
Vol 26 (6) ◽  
pp. 588-589 ◽  
Author(s):  
Tsunetada Yazaki ◽  
Hiromichi Ishikawa ◽  
Shori Kanoh ◽  
Kenkichi Koiso
2008 ◽  
Vol 106 (1) ◽  
pp. 350-351 ◽  
Author(s):  
Yoshihiro Fujiwara ◽  
Yutaka Sato ◽  
Masato Kitayama ◽  
Yasuyuki Shibata ◽  
Toru Komatsu ◽  
...  

2011 ◽  
Vol 21 (3) ◽  
pp. 129-133
Author(s):  
Zeki Tuncel Tekgül ◽  
Rauf Taner Divrik ◽  
Murat Turan ◽  
Esen Şimşek ◽  
Ersin Konyalıoğlu ◽  
...  

2009 ◽  
Vol 16 (01) ◽  
pp. 48-52
Author(s):  
NASEEM AHMED ◽  
Shahid Mahmood Rana ◽  
SYED MUHAMMAD ZAHEER HAIDER ◽  
Arshad Mahmood ◽  
FAIZAN AHMED ◽  
...  

Objectives: To evaluate the efficacy of obturator nerve block combined with spinal anaesthesia for prevention of adductormuscle spasm and its associated complications during transurethral resection of bladder tumours located at its lateral and inferolateral wall.Study design: A prospective study. Setting: At AFIU Rawalpindi. Period: From January 2005 to December 2006. Material and methodFifty patients who had tumours at their lateral / inferolateral bladder wall of physical status ASA I - IV received spinal anaesthesia at 3r d or4l h lumbar space followed by obturator nerve block with a view to preventing adductor jerk during resection of tumour. Results: There wascomplete suppression of adductor jerk in 45 (90%) patients and surgery was completed smoothly. Two patients (4%) had mild adductorjerk and additional sedation was required. The block failed to work in 3 (6%) cases and required conversion to general anaesthesia. Thusthe procedure was successful in 94% (complete and partial suppression of jerk. Conclusion: We conclude that spinal anaesthesiacombined with obturator nerve block is an effective technique for preventing adductor jerk during TUR-BT, thus avoiding intra-operative andpost operative complication.


2021 ◽  
Vol 14 (3) ◽  
pp. 130-140
Author(s):  
V. A. Koriachkin ◽  
D. V. Zabolotskii ◽  
D. V. Gribanov ◽  
T. A . Antoshkova

One of the forgotten techniques of regional anesthesia is blockade of the obturator nerve, which was performed using anatomical landmarks and neurostimulation. In recent years, ultrasonic navigation methods have gained wide popularity when using regional blockades. The purpose of the review is to present the current understanding of the use of obturator nerve block in clinical practice. The review presents the anatomical features of the obturator nerve passage, surgical and therapeutic indications for the use of its blockade. The technique for performing obturator blockade using ultrasound navigation is described in detail. Blockade of the obturator nerve using ultrasound navigation can reduce the likelihood of surgical complications during transurethral resection of a tumor located on the lateral wall of the bladder, improve analgesia after hip and knee surgery, and effectively relieve spastic conditions of the adductor muscles of the hip.


2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Pascal Viktorin-Baier ◽  
Isabelle Keller ◽  
Barbara Jung ◽  
Michael Ganter ◽  
Hubert John

2011 ◽  
Vol 25 (6) ◽  
pp. 923-926 ◽  
Author(s):  
Seong Heon Lee ◽  
Cheol Won Jeong ◽  
Hyun Jung Lee ◽  
Myung Ha Yoon ◽  
Woong Mo Kim

2013 ◽  
Vol 195 (1) ◽  
pp. 82-87 ◽  
Author(s):  
G.C. Feigl ◽  
H. Ulz ◽  
T. Pixner ◽  
C. Dolcet ◽  
R. Likar ◽  
...  

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