C-arm-guided pudendal nerve block: a new technique
Summary Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)‐ or sono‐guided approach, have been suggested for this block. However, they have some limitations, s...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2006-05, Vol.60 (5), p.553-556 |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Choi, S-S Lee, P-B Kim, Y-C Kim, H-J Lee, S-C |
| description | Summary
Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)‐ or sono‐guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconveniency. To overcome these limitations, we first tried C‐arm‐guided approach for accomplishing PNB in the prone position. Under the optimal ischial spine view of C‐arm fluoroscopy, the block needle was placed on the tip of the ischial spine. Then a mixed solution for the block was administered. All of the 25 patients enrolled in this study were blocked successfully using this method. No side‐effects or complications were observed in relation to the block. We concluded that the C‐arm‐guided approach for PNB is an effective alternative to the existing techniques, which can overcome their limitations. |
| doi_str_mv | 10.1111/j.1742-1241.2006.00836.x |
| format | Article |
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Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)‐ or sono‐guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconveniency. To overcome these limitations, we first tried C‐arm‐guided approach for accomplishing PNB in the prone position. Under the optimal ischial spine view of C‐arm fluoroscopy, the block needle was placed on the tip of the ischial spine. Then a mixed solution for the block was administered. All of the 25 patients enrolled in this study were blocked successfully using this method. No side‐effects or complications were observed in relation to the block. We concluded that the C‐arm‐guided approach for PNB is an effective alternative to the existing techniques, which can overcome their limitations.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/j.1742-1241.2006.00836.x</identifier><identifier>PMID: 16700853</identifier><language>eng</language><publisher>Oxford, UK; Malden, USA: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; C-arm-guided pudendal nerve block ; Female ; Fluoroscopy ; General aspects ; Humans ; Male ; Medical sciences ; Middle Aged ; Nerve Block - methods ; Neuralgia - diagnostic imaging ; Neuralgia - therapy ; optimal ischial spine view ; Perineum - innervation ; pudendal nerve block</subject><ispartof>International journal of clinical practice (Esher), 2006-05, Vol.60 (5), p.553-556</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4366-79096d5ad16d6b51f03290464f51ddd6e5ed296c8ac7611cb4eaa450c3fba5823</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1742-1241.2006.00836.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1742-1241.2006.00836.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17752285$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16700853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, S-S</creatorcontrib><creatorcontrib>Lee, P-B</creatorcontrib><creatorcontrib>Kim, Y-C</creatorcontrib><creatorcontrib>Kim, H-J</creatorcontrib><creatorcontrib>Lee, S-C</creatorcontrib><title>C-arm-guided pudendal nerve block: a new technique</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)‐ or sono‐guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconveniency. To overcome these limitations, we first tried C‐arm‐guided approach for accomplishing PNB in the prone position. Under the optimal ischial spine view of C‐arm fluoroscopy, the block needle was placed on the tip of the ischial spine. Then a mixed solution for the block was administered. All of the 25 patients enrolled in this study were blocked successfully using this method. No side‐effects or complications were observed in relation to the block. We concluded that the C‐arm‐guided approach for PNB is an effective alternative to the existing techniques, which can overcome their limitations.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>C-arm-guided pudendal nerve block</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Neuralgia - diagnostic imaging</subject><subject>Neuralgia - therapy</subject><subject>optimal ischial spine view</subject><subject>Perineum - innervation</subject><subject>pudendal nerve block</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1PwyAUhonRuDn9C6Y3ekflo9DWxAvTuA9jphc1XhIKVLu13Syr2_691M2NGw45zwucBwAPIx-7dTfzcRgQiEmAfYIQ9xGKKPc3J6B_aJy6mvIIMkRxD1xYO0OIMBahc9DDPHQJRvuAJFA2FfxsC220t2y1qbUsvdo0P8bLyoWa33vSHdfeyqivuvhuzSU4y2VpzdV-H4D34VOajOHL62iSPL5AFVDOYRijmGsmNeaaZwzniJIYBTzIGdZac8OMJjFXkVQhx1hlgZEyYEjRPJMsInQAbnf3LpuFe9auRFVYZcpS1mbRWsHD2M0aUQde78E2q4wWy6aoZLMV_1M64GYPSKtkmTeyVoU9cmHICHHgADzsuHVRmu2xj0RnXcxEJ1d0ckVnXfxZFxsxeU7eXOXycJcv7MpsDnnZzN1nacjEx3QkpjhN0_FwLBL6Cywpgiw</recordid><startdate>200605</startdate><enddate>200605</enddate><creator>Choi, S-S</creator><creator>Lee, P-B</creator><creator>Kim, Y-C</creator><creator>Kim, H-J</creator><creator>Lee, S-C</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200605</creationdate><title>C-arm-guided pudendal nerve block: a new technique</title><author>Choi, S-S ; Lee, P-B ; Kim, Y-C ; Kim, H-J ; Lee, S-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4366-79096d5ad16d6b51f03290464f51ddd6e5ed296c8ac7611cb4eaa450c3fba5823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>C-arm-guided pudendal nerve block</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Neuralgia - diagnostic imaging</topic><topic>Neuralgia - therapy</topic><topic>optimal ischial spine view</topic><topic>Perineum - innervation</topic><topic>pudendal nerve block</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, S-S</creatorcontrib><creatorcontrib>Lee, P-B</creatorcontrib><creatorcontrib>Kim, Y-C</creatorcontrib><creatorcontrib>Kim, H-J</creatorcontrib><creatorcontrib>Lee, S-C</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, S-S</au><au>Lee, P-B</au><au>Kim, Y-C</au><au>Kim, H-J</au><au>Lee, S-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>C-arm-guided pudendal nerve block: a new technique</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2006-05</date><risdate>2006</risdate><volume>60</volume><issue>5</issue><spage>553</spage><epage>556</epage><pages>553-556</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
Pudendal nerve block (PNB) is an effective diagnostic and/or treatment method for perineal pain. Various approach techniques, such as transperineal, transvaginal, computerised tomography (CT)‐ or sono‐guided approach, have been suggested for this block. However, they have some limitations, such as high cost, difficulty to perform in practice, inaccurate and unreliable results and inconveniency. To overcome these limitations, we first tried C‐arm‐guided approach for accomplishing PNB in the prone position. Under the optimal ischial spine view of C‐arm fluoroscopy, the block needle was placed on the tip of the ischial spine. Then a mixed solution for the block was administered. All of the 25 patients enrolled in this study were blocked successfully using this method. No side‐effects or complications were observed in relation to the block. We concluded that the C‐arm‐guided approach for PNB is an effective alternative to the existing techniques, which can overcome their limitations.</abstract><cop>Oxford, UK; Malden, USA</cop><pub>Blackwell Publishing Ltd</pub><pmid>16700853</pmid><doi>10.1111/j.1742-1241.2006.00836.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| subjects | Adult Aged Biological and medical sciences C-arm-guided pudendal nerve block Female Fluoroscopy General aspects Humans Male Medical sciences Middle Aged Nerve Block - methods Neuralgia - diagnostic imaging Neuralgia - therapy optimal ischial spine view Perineum - innervation pudendal nerve block |
| title | C-arm-guided pudendal nerve block: a new technique |
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