scholarly journals A prospective study of associated surgical hazards in trans-urethral resection of bladder tumor (turbt) comparing blind versus nerve stimulator guided obturator nerve block with spinal block

2018 ◽  
Vol 5 (1) ◽  
pp. 13-16
Keyword(s):  
Prospective Study ◽  
Nerve Block ◽  
Bladder Tumor ◽  
Obturator Nerve ◽  
Spinal Block ◽  
Nerve Stimulator ◽  
Obturator Nerve Block ◽  
In Trans ◽  
A Prospective Study

scholarly journals OBTURATOR NERVE RLOCK

2009 ◽  
Vol 16 (01) ◽  
pp. 48-52
Author(s):  
NASEEM AHMED ◽  
Shahid Mahmood Rana ◽  
SYED MUHAMMAD ZAHEER HAIDER ◽  
Arshad Mahmood ◽  
FAIZAN AHMED ◽  
...  
Keyword(s):  
Nerve Block ◽  
Spinal Anaesthesia ◽  
Bladder Wall ◽  
Obturator Nerve ◽  
Physical Status ◽  
Effective Technique ◽  
Obturator Nerve Block ◽  
Partial Suppression ◽  
A Prospective Study ◽  
Study Setting

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.

scholarly journals Obturator Nerve Block Using Levobupivacaine for the Prevention of Adductor Spasm in Transurethral Bladder Tumor Resection

2013 ◽  
Vol 33 (1) ◽  
pp. 49-53
Author(s):  
Kamil DARÇIN ◽  
Züleyha KAZAK BENGİSUN ◽  
Perihan EKMEKÇİ ◽  
Ahmet Hakan HALİLOĞLU ◽  
Arif Hikmet SÜER
Keyword(s):  
Nerve Block ◽  
Bladder Tumor ◽  
Tumor Resection ◽  
Obturator Nerve ◽  
Obturator Nerve Block

scholarly journals Outcome of Obturator Nerve Block by Inguinal and Transvesical Approach in Transurethral Resection of Bladder Tumor

2020 ◽  
Vol 23 (2) ◽  
pp. 118-123
Author(s):  
Md Mahmud Ur Rahman ◽  
Md Shafiqul Alam Chowdhury ◽  
Md Amanur Rasul ◽  
Sudip Das Gupta ◽  
Mohammed Mizanur Rahman
Keyword(s):  
Nerve Block ◽  
Transurethral Resection ◽  
Bladder Tumor ◽  
Bladder Wall ◽  
Obturator Nerve ◽  
Obturator Nerve Block ◽  
Significant Difference ◽  
Group A ◽  
Transvesical Approach ◽  
Group B

Introduction and aim of the study : Spinal anaesthesia for transurethral resection of bladder tumor (TURBT) does not prevent unintended stimulation of the obturator nerve when electro resection is performed on the lateral and Postero-lateral wall of the bladder. It results in muscle contraction of the adductor muscles of the thigh, which may lead to perforation of bladder wall with the resectoscope loop. The aim of the study was to compare the outcome of obturator nerve block by inguinal and transvesical approach. Materials and Methods: A prospective experimental study was done in the department of Urology Dhaka Medical College Hospital during the period of November 2016 to April 2018. Total 60 Patients were included for the study as per inclusion and exclusion Criteria. Patients were than allocated purposively into two groups by simple random sampling. Group A consisted of 30 patients where obturator nerve block (ONB) was done by transvesical approach and Group B also consisted of 30 patients where ONB was done by inguinal approach. Results: In the present study, the baseline characteristics of the patients in Group-A and Group-B were almost similar having no statistically significant difference. Obturator jerk more frequently occurred in group-B, in 13 (56.37%) patients following TURBT compared to Group-A, where 05(16.67%) patients developed obturator jerk. The intergroup difference was statistically significant (p<0.05). In case of 26 (86.67%) patients tumour was completely resectable in group-A, while in 21 (70.00%) patients of Group- B tumour was completely resectable. This was not a statistically significant difference (P>0.05). There was no incidence of bladder wall perforation in group-A, wherears this complication occurred in 02 (06.67%) cases of Group-B (p>0.05). Mean operative time in Group-A and group-B is 50.46 (±11.64) and 59.10 (±15.83) respectively (p<0.05). Conclusion: We conclude that transvesical approach is better in case of Jerk elimination and Less Procedure related time than inguinal approach during TURBT Bangladesh Journal of Urology, Vol. 23, No. 2, July 2020 p.118-123

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