Poliquistosis renal

Comparison of different methods of obturator nerve block in transurethral resection of bladder tumors: A systematic review and network meta‐analysis

“…In addition, some patients may experience delayed bladder perforation and bleeding during postoperative intravesical instillation. According to previously reported data, obturator nerve reflex occurs in 55.3%–100% of the TURBT cases involving the lateral bladder wall, causing adverse intraoperative and postoperative effects 34 . Intraoperative perforation and incomplete tumor resection caused by the obturator nerve reflex increase the risk of postoperative recurrence and worsen prognosis.…”

“…Non‐muscle invasive bladder cancer is routinely diagnosed and treated by transurethral resection of bladder tumor (TURBT) combined with postoperative intravesical instillation. Previous studies have shown that 46.8% of the bladder tumors are localized to the lateral wall of the bladder, which is adjacent to the obturator nerve 34 . Therefore, during resection of lateral bladder wall tumors, the electrical current may stimulate the obturator nerve reflex with adverse consequences.…”

“…Previous studies have shown that 46.8% of the bladder tumors are localized to the lateral wall of the bladder, which is adjacent to the obturator nerve. 34 Therefore, during resection of lateral bladder wall tumors, the electrical current may stimulate the obturator nerve reflex with adverse consequences. For example, the contraction of the adductor muscle caused by stimulation of the obturator nerve can affect the depth of resection.…”

“…According to previously reported data, obturator nerve reflex occurs in 55.3%–100% of the TURBT cases involving the lateral bladder wall, causing adverse intraoperative and postoperative effects. 34 Intraoperative perforation and incomplete tumor resection caused by the obturator nerve reflex increase the risk of postoperative recurrence and worsen prognosis. The combination of spinal anesthesia with ONB can significantly reduce the occurrence of obturator nerve reflex, and mitigate the above complications.…”

The first experience of using obturator nerve block to prevent spasm of adductor muscles of the thigh during transurethral resection of bladder

“…Нередко в своей работе онкоуролог и анестезиолог при выполнении трансуретральной резекции (ТУР) мочевого пузыря встречаются с расположением опухоли на боковой стенке. Согласно данным литературы частота локализации опухоли на боковой стенке может достигать 53 % [1,2]. При удалении такого новообразования существует высокая вероятность непредвиденного сокращения приводящих мышц бедра с резким приведением ноги, что может стать причиной перфорации стенки мочевого пузыря, опухолевой внутрибрюшной диссеминации, повреждения сосудов с развитием кровотечения или неполного удаления опухоли [3].…”