Ultrasound-guided Spinal Needle Localization for Resection of Abdominal Wall Endometrioma

Abstract: The incidence of endometriosis, including atypical forms of the disease, has been continuously growing, thus increasingly challenging for the imaging specialists as well. We conducted a retrospective study to analyze the results of ultrasound-guided interventions between 2016 and 2018. All interventions were performed in female patients due to uncertain abdominal wall lesions at the University of Szeged, Hungary. The abdominal wall lesions were incidentally detected, one by CT, the others by ultrasound examinations. We identified 12 cases during the study period. The average age of the patients was 59 years (29–79), 8 of them had abdominal surgery in their medical history. The mean diameter of the masses was 34.4 mm (20–49 mm). Since the indication of imaging examinations was the evaluation of a known or suspected malignancy, four patients had undergone an MRI prior to the biopsy. In addition, ultrasound-guided biopsy was not performed in another two patients, and the diagnosis was established by histological examination of the surgically removed specimens. The histological examination revealed malignant primary serous epithelial tumor in one case, metastases in six cases, endometriosis in six patients and abdominal wall abscess was found in one patient. Endometriosis was more frequent in the younger patients. The likelihood of endometriosis as a cause of abdominal wall lesions of younger, premenopausal female patients is rather high, especially with obstetrical or gynaecological operations in the medical history. Ultrasound plays a primary role in the detection and therapy planning of these lesions. Orv Hetil. 2019; 160(35): 1395–1403.

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The analgesic efficacy of ultrasound-guided transversus abdominis plane block for retroperitoneoscopic renal surgery: a randomized controlled study

BMC Anesthesiology ◽

10.1186/s12871-019-0850-3 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Xue Li ◽

Zhen-Zhen Xu ◽

Xue-Ying Li ◽

Ting-Ting Jiang ◽

Zeng-Mao Lin ◽

...

Keyword(s):

Pain Intensity ◽

Abdominal Wall ◽

Analgesic Efficacy ◽

Opioid Consumption ◽

Transversus Abdominis ◽

Controlled Study ◽

Tap Block ◽

Transversus Abdominis Plane ◽

Ultrasound Guided ◽

Renal Surgery

Abstract Background Ultrasound-guided lateral transversus abdominis plane (TAP) block can provide definite analgesia to the anterior abdominal wall. However, whether this method is useful in renal surgery through the lateral abdominal wall pathway remains unknown. The study aimed to evaluate the analgesic efficacy of lateral TAP block for retroperitoneoscopic partial or radical nephrectomy. Method In this prospective, randomized, double-blind, placebo-controlled trial, eligible patients were randomized into two groups. After anaesthesia induction, ultrasound-guided lateral TAP block was performed with either 30 ml of 0.4% ropivacaine (Group T) or an equivalent volume of normal saline (Group C). The primary outcomes were opioid consumption during surgery and in the first 24 h after surgery. Secondary outcomes included postsurgical pain intensity immediately awakening from anaesthesia and at 0.5, 1, 2, 6, 12, and 24 h after surgery, as well as recovery variables including the incidence of postoperative nausea and vomiting (PONV), sleep quality, time to first ambulation, drainage and length of hospital stay. Results A total of 104 patients were enrolled and randomized (53 in Group T and 51 in Group C). Laparoscopic surgery was converted to open surgery in one patient of Group T; this patient was excluded from the outcome analysis. The opioid consumption during surgery (intravenous morphine equivalent dose: median 35.0 mg [interquartile range 18.0, 49.6] in Group C vs. 40.3 mg [20.9, 59.0] in Group T, P = 0.281) and in the first 24 h after surgery (10.8 mg [7.8, 21.7] in Group C vs. 13.2 mg [8.0, 26.6] in Group T, P = 0.311) did not differ significantly between groups. There were no significant differences between groups regarding the pain intensity at all time points after surgery and the recovery variables (all P > 0.05). Conclusions Our results showed that, in patients undergoing retroperitoneoscopic renal surgery, preoperative lateral TAP did not decrease intra- and postoperative opioid consumption, nor did it relieve pain intensity or promote postoperative recovery in the first 24 h after surgery. However, the trial might be underpowered. Trial registration This study was registered on November 4, 2017, in the Chinese Clinical Trail Registry with the identification number ChiCTR-INR-17013244.

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Use of ultrasound-guided subcostal transversus abdominis plane blocks in a pediatric patient with chronic abdominal wall pain

Pediatric Anesthesia ◽

10.1111/j.1460-9592.2010.03471.x ◽

2010 ◽

Vol 21 (1) ◽

pp. 88-90 ◽

Cited By ~ 12

Author(s):

Damian M. Simpson ◽

Jennifer Tyrrell ◽

Joost De Ruiter ◽

Fiona A. Campbell

Keyword(s):

Abdominal Wall ◽

Pediatric Patient ◽

Transversus Abdominis ◽

Transversus Abdominis Plane ◽

Ultrasound Guided ◽

Abdominal Wall Pain ◽

Chronic Abdominal Wall Pain

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Abstract No. 319: Intra-operative ultrasound guided needle localization of non-palpable hepatic tumors: A novel technique

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2011.01.349 ◽

2011 ◽

Vol 22 (3) ◽

pp. S132

Author(s):

A. Sullivan ◽

M. Karmel ◽

D.S. Kittur

Keyword(s):

Hepatic Tumors ◽

Ultrasound Guided ◽

Needle Localization ◽

Novel Technique ◽

Operative Ultrasound

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Ultrasound-guided abdominal wall nerve blocks in the ED

The American Journal of Emergency Medicine ◽

10.1016/j.ajem.2011.03.008 ◽

2012 ◽

Vol 30 (5) ◽

pp. 759-764 ◽

Cited By ~ 6

Author(s):

Andrew A. Herring ◽

Michael B. Stone ◽

Arun D. Nagdev

Keyword(s):

Abdominal Wall ◽

Ultrasound Guided ◽

Nerve Blocks

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Brachytherapy technique for abdominal wall metastases of colorectal cancer: ultrasound-guided insertion of applicator needle and a skin preservation method

Acta Radiologica ◽

10.1080/02841850500466542 ◽

2006 ◽

Vol 47 (2) ◽

pp. 157-161 ◽

Cited By ~ 7

Author(s):

K. Kishi ◽

K. Takifuji ◽

S. Shirai ◽

T. Sonomura ◽

M. Sato ◽

...

Keyword(s):

Abdominal Wall ◽

Subcutaneous Tissue ◽

Organs At Risk ◽

Late Complications ◽

Interstitial Brachytherapy ◽

Skin Dose ◽

Tumor Shrinkage ◽

Saline Injection ◽

Ultrasound Guided ◽

Preservation Method

Purpose: To report a technique of interstitial brachytherapy for the treatment of subcutaneous metastatic abdominal wall tumors. Material and Methods: We developed a brachytherapy technique consisting of ultrasound-guided insertion of applicator needles to avoid the organs at risk, such as intestines, and saline injection into the subcutaneous tissue between the tumor and the skin to decrease the skin dose. We encountered three patients with painful metastases from rectal carcinoma in the abdominal wall refractory to external radiotherapy. They were subjected to this brachytherapy with a single dose of 20 Gy. Results: The procedure was safely achieved in all three patients. Long-lasting pain reduction and tumor shrinkage was obtained without early or late complications. Conclusion: This interstitial brachytherapy technique seems to be feasible in the treatment of metastatic abdominal wall tumors.

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