Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for chronic pain after inguinal hernia repair

Thomassen, Irene; Suijlekom, J. A. Van; Gaag, A. van de; Ponten, Jeroen E. H.; Nienhuijs, Simon W.

doi:10.1007/s10029-012-0998-y

Cited by 55 publications

(25 citation statements)

References 21 publications

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“…Previously, Thomassen et al in 2013 described the use of ultrasound guidance and nerve-stimulator guided blocks for neurectomy. 21 In this paper we present a novel technique that provides the peripheral nerve surgeon a helpful tool to plan and execute the surgery. It is a technique that uses readily available, portable, and cost-effective resources that could be easily implemented to the benefit of many patients with a wide range of peripheral nerve problems.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery

Osorio

Arnaout

Simon

et al. 2015

FOC

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OBJECT The objective of this study was to provide a technique that could be used in the preoperative period to facilitate the surgical exploration of peripheral nerve pathology. METHODS The authors describe a technique in which 1) ultrasonography is used in the immediate preoperative period to identify target peripheral nerves, 2) an ultrasound-guided needle electrode is used to stimulate peripheral nerves to confirm their position, and then 3) a methylene blue (MB) injection is performed to mark the peripheral nerve pathology to facilitate surgical exploration. RESULTS A cohort of 13 patients with varying indications for peripheral nerve surgery is presented in which ultrasound guidance, stimulation, and MB were used to localize and create a road map for surgeries. CONCLUSIONS Preoperative ultrasound-guided MB administration is a promising technique that peripheral nerve surgeons could use to plan and execute surgery.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery

Osorio

Arnaout

Simon

et al. 2015

FOC

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“…In a recent report by Thomassen et al,92 the authors found ultrasound-guided IIN/IHN blocks to be effective in treating CPIP with successful prolonged pain relief after a median follow-up time of 20 months. Despite this finding, they reported that they did not find any statistically significant difference in pain outcomes when they compared patients who received nerve-stimulator-guided nerve blocks versus ultrasound-guided nerve blocks.…”

Section: Interventional Pain Managementmentioning

confidence: 98%

“…Few studies have been performed evaluating the efficacy of ultrasound-guided IIN/IHN blocks in the treatment of CPIP, and provide conflicting results 91,92. In a recent report by Thomassen et al,92 the authors found ultrasound-guided IIN/IHN blocks to be effective in treating CPIP with successful prolonged pain relief after a median follow-up time of 20 months.…”

Section: Interventional Pain Managementmentioning

confidence: 99%

Pain control following inguinal herniorrhaphy: current perspectives

Bjurström¹,

Nicol²,

Amid³

et al. 2014

JPR

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Inguinal hernia repair is one of the most common surgeries performed worldwide. With the success of modern hernia repair techniques, recurrence rates have significantly declined, with a lower incidence than the development of chronic postherniorrhaphy inguinal pain (CPIP). The avoidance of CPIP is arguably the most important clinical outcome and has the greatest impact on patient satisfaction, health care utilization, societal cost, and quality of life. The etiology of CPIP is multifactorial, with overlapping neuropathic and nociceptive components contributing to this complex syndrome. Treatment is often challenging, and no definitive treatment algorithm exists. Multidisciplinary management of this complex problem improves outcomes, as treatment must be individualized. Current medical, pharmacologic, interventional, and surgical management strategies are reviewed.

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“…The method demonstrates superiority and cost-effectiveness when compared with both subarachnoid and general anesthesia [4]. In addition, ilioinguinal nerve block may have a place in the control of chronic pain after inguinal hernia repair [5] and a role in the treatment of chronic pelvic pain [6].…”

Section: Introductionmentioning

confidence: 99%

Ilioinguinal Nerve Block in Obese Patients: Description of New Technique

Mathers

Haley

2015

Journal of Medical Ultrasound

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Ilioinguinal nerve blockade is an effective technique for both perioperative and chronic pain conditions in adult and pediatric practice. Ultrasound guidance can increase the success rate and reduce the complications associated with performing ilioinguinal nerve blockade. Obese patients present a particular challenge with ilioinguinal block as the overlying abdominal pannus impedes the ultrasound view by increasing the depth to target and necessitating an out-of-plane approach. We demonstrate that modification of the technique by placing the patient into the lateral decubitus position reduces the depth to target and allows an in-plane approach to be utilized. ª 2015, Chinese Taipei Society of Ultrasound in Medicine. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for chronic pain after inguinal hernia repair

Abstract: Ilioinguinal/iliohypogastric nerve blocks can be effective to treat chronic inguinal pain following surgery of the groin. The use of ultrasound was not superior to nerve stimulator-guided blocks. These blocks could be considered prior to more invasive procedures such as neurectomy.

Cited by 55 publications

References 21 publications

Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery

Ultrasound-guided percutaneous injection of methylene blue to identify nerve pathology and guide surgery

Pain control following inguinal herniorrhaphy: current perspectives

Ilioinguinal Nerve Block in Obese Patients: Description of New Technique

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