BACKGROUND The recommended surgical treatment for chronic neuropathic pain after herniorrhaphy has been a 2-stage operation including: (1) ilioinguinal and iliohypogastric neurectomies through an inguinal approach and (2) genital nerve neurectomy through a flank approach. HYPOTHESIS A 1-stage surgical procedure resecting all 3 nerves from an anterior approach avoids a second operation through...

background: greater occipital never block has been shown to be an effective treatment in patients with cluster or tension type headache but there are very few studies investigating its effect in patients with chronic migraine. this study was to determine the effectiveness of greater occipital never block on headache in patients with chronic migraine. we designed an interventional before-after s...

background in spite of common usage of the inferior alveolar nerve block (ianb), this method has some well-defined restrictions. objectives the purpose of the present study was to compare these two techniques for the surgical removal of impacted lower third molars. patients and methods a total of 44 similarly impacted lower third molars (22 patients with two similar teeth) were selected. in eac...

conclusions the length of sensory and motor blockade is shorter in chronic opioid abusers. adding 10 µg sufentanil to hyperbaric bupivacaine in opium abusers lengthened the sensory and motor block duration. results the duration of sensory and motor block were significantly less in group c (537.0 ± 40.1 minutes, 479.0 ± 34.8 minutes) and the longest duration of sensory and motor block was observ...

conclusions some new approaches are discussed and their impact on renal colic pain control was compared with traditional therapies. the effectiveness of the new approaches in this review is similar or even better than in traditional treatments. results our study showed that some new treatment approaches, such as the use of lidocaine or nerve blocks, can be used to control the severe and persist...

injecting local anesthetic at the seeking current would be appealing.it would save time and avoid potentially dangerous manipulations of the needle. this study aimed to test the hypotheses that in vertical infraclavicular block, injecting local anesthetic at a seeking current of 0.8 ma would produce the same quality of block as injecting at ≤0.5ma. a total of sixty asa i -iii adult patients sch...

Transversus abdominis plane (TAP) and ilioinguinal/iliohypogastric (II/IH) nerve blocks have been described as analgesic adjuncts for inguinal hernia repair, but the efficacy of these techniques in providing intraoperative anesthesia, either individually or together, is not known. We designed this retrospective cohort study to test the hypothesis that combining TAP and II/IH nerve blocks ("doub...