OBJECTIVE The authors assessed the long-term pain relief after local nerve blocks or neurectomy in patients suffering from chronic pain because of Pfannenstiel-induced nerve entrapment. SUMMARY BACKGROUND DATA The low transverse Pfannenstiel incision has been associated with chronic lower abdominal pain because of nerve entrapment (2%-4%). Treatment options include peripheral nerve blocks or ...

We present a case of torsion dystonia in a 35-yr-old primigravida who presented for a Caesarean section under general anaesthesia. She had limb contractures and severe kyphoscoliosis associated with limited respiratory reserve and function. General anaesthesia was induced using thiopental and divided doses of mivacurium for rapid sequence induction. After the delivery of a healthy male baby, sh...

Ultrasound-guided regional anesthesia techniques placed under general anesthesia have not been reported in pediatric patients with acute intermittent porphyria (AIP). A 9-year-old male with AIP presented for right inguinal herniorraphy. Family history included one relative's death after anesthesia. Preoperative preparation included reviewing medications safe for AIP patients, minimizing known A...

Peripartum cardiomyopathy (PPCM) is a rare complication that occurs between the late stage of pregnancy and six months after delivery. PPCM presents as symptoms of left ventricular dysfunction and it can be fatal unless treated promptly. Furthermore, anesthesia and surgery in such patients is a large challenge to anesthesiologists. First and foremost, the maintenance of stable hemodynamics is a...

Ultrasound has emerged to become a commonly used modality in the performance of chronic pain interventions. It allows direct visualization of tissue structure while allowing real time guidance of needle placement and medication administration. Ultrasound is a relatively affordable imaging tool and does not subject the practitioner or patient to radiation exposure. This review focuses on the ana...

Despite recent advances in surgical technique for inguinal hernia repair, chronic groin pain following the surgical repair of an inguinal hernia is not uncommon. Injury to the ilioinguinal, iliohypogastric, or genitofemoral nerves is the most common etiology. Specific risk factors that increase the likelihood of developing chronic groin pain have been identified. Ultrasound-guided peripheral ne...

In this study the nerves originating from the plexus lumbosacrales of porcupines (Hystrix cristata) were investigated. Four porcupines (two males and two females) were used. The plexus lumbosacrales of animals were appropriately dissected and dissemination of pelvic limb nerves originating from the plexus lumbosacrales was examined. The nerves originated from the plexus lumbosacrales of porcupi...

BACKGROUND Previous studies have suggested that magnesium may be a useful adjuvant to postoperative analgesia. METHODS We randomized adults undergoing ambulatory ilioinguinal hernia repair or varicose vein operation under general anesthesia (propofol, fentanyl, isoflurane-N2O) to receive magnesium sulfate 4 g IV or physiological saline after induction. All patients preoperatively received dic...