Older techniques for performing the ganglion impar block involved approaching the anterior sacrococcygeal region by using a curved needle inserted below the distal coccygeal tip. The older technique required a larger-diameter and longerlength needle (in particular, the longer length of that needle being inserted into the patient) compared with the current (transsacrococcygeal) approach, which u...

BACKGROUND Coccydynia is a rare but painful disorder characterized by axial coccygeal pain which is typically exacerbated by pressure. Management includes physical therapy/rectal manipulation, use of anti-inflammatory medications, modality use, coccygectomy, and fluoroscopically guided steroid injections. There are no studies documenting the efficacy of fluoroscopically guided coccygeal steroid...

Coccygodynia is a problem with a small percentage (1%) of the population suffering from musculoskeletal disorders. This pain is often associated with trauma, falling on the tailbone, long cycling, or by women after childbirth. The reason for the described problem can be the actual morphological changes. Idiopathic coccygodynia causes therapeutic difficulties to specialists of many fields. Unsat...

Introduction: Here, we present two case reports of adult female patients with the pathologic diagnosis of large sacrococcygeal teratoma. Case Series: In the first patient (aged 19 years), pelvic ultrasonographic examination showed a large (85.9×88.7 mm) multiloculated complex cyst posterior to the cervix. No evidence of recurrence was observed post-resection. The histological examination of the...

AIM To analyse the outcome of neonatal sacrococcygeal teratomas (SCT) in our setup. MATERIALS AND METHODS Hospital records of 10 neonates, who were operated for SCT during 14 years time period, were retrieved and analysed. Letters were sent to 6 parents/ caretakers of children who were lost to follow up; none of them responded. RESULTS Seven girls and 3 boys with a mean age of 9 days (range...

BACKGROUND When compared with conventional abdominoperineal resection (APR), extralevator abdominoperineal excision (ELAPE) has been demonstrated to reduce the risk of local recurrence for the treatment of locally advanced low rectal cancer. Combined with the laparoscopic technique, laparoscopic ELAPE (LELAPE) has the potential to reduce invasion and hasten postoperative recovery. In this study...

BACKGROUND Sacrococcygeal teratomas are the most common and best known extragonadal teratomas in neonates and infants, but they sometimes present unique, distinctive features unlike those commonly described, that can be considered exceptional and noteworthy. MATERIAL AND METHODS The Authors reviewed the most significant (Table I, II) clinical, laboratory, radiological and pathologic findings,...