Open AccessC‐arm‐guided pudendal nerve block: a new technique
Author(s) -
Choi SS,
Lee PB,
Kim YC,
Kim HJ,
Lee SC
Publication year - 2006
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/j.1742-1241.2006.00836.x
Subject(s) - medicine , block (permutation group theory) , fluoroscopy , pudendal nerve , nerve block , surgery , mathematics , geometry
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.