Reply by Authors. We appreciate the interest of Delgrange in our study. MacRoprolactinemia is a clinically and biologically heterogeneous condition. Leslie et al studied 55 women with typical hyperprolactinemia and reported that symptoms of typical hyperprolactinemia were uncommon. Vallette-Kasic et al examined 106 patients with macroprolactinemia and found that 61% had normal menstruation and ...

Anesthesia of the soft and hard tissues of the maxilla may require up to 5 injections. Thus, the aim of this study was to evaluate the anesthetic efficacy of the anterior middle superior alveolar (AMSA) and supraperiosteal injection techniques during subgingival scaling and root planing (SRP). Thirty individuals with periodontitis were scheduled for SRP on the buccal aspect of teeth in the ante...

The ankle block is a safe and effective means of providing sensory anesthesia to the foot. The nerve supply to the foot at the level of the ankle is relatively superficial and consists of five nerve branches. The posterior tibial, which supplies the plantar aspect of the foot; the saphenous, supplying the medial portion of the foot; the deep peroneal, supplying an area between the great and sec...

BACKGROUND Effective pain control in Dentistry may be achieved by local anesthetic techniques. The success of the anesthetic technique in mandibular structures depends on the proximity of the needle tip to the mandibular foramen at the moment of anesthetic injection into the pterygomandibular region. Two techniques are available to reach the inferior alveolar nerve where it enters the mandibula...

While the definitive treatment for cancer is frequently surgery, the perioperative period represents one of the greatest risk factors for tumor cell proliferation and eventual metastases [1-3]. Several studies have demonstrated that surgery stimulates neuroendocrine and cytokine stress responses, suppresses cell-mediated immunity, disperses tumor cell emboli, and promotes tumor growth and metas...

PURPOSE We describe a new, modified jet injection technique for local anesthesia for no-scalpel vasectomy without the use of a needle, which may minimize the fear of vasectomy in men due to the needle involved in local anesthesia. MATERIALS AND METHODS A MadaJet Medical Injector (MADA Medical Products, Carlstadt. New Jersey) was used in this study to deliver a high pressure spray of 0.1 cc lo...

PURPOSE We evaluated the adequacy and feasibility of a tumescent solution containing lidocaine and bupivacaine for inguinal hernia repairs. METHODS The medical records of 146 consecutive inguinal hernia patients with 157 hernia repairs using the tumescent local anesthesia technique performed by a single surgeon between September 2009 and December 2013 were retrospectively reviewed. RESULTS ...

PURPOSE We describe pain scores for a modified anesthesia technique for no-scalpel vasectomy using a 1-inch 30 gauge mini-needle. MATERIALS AND METHODS A prospective study was performed in 277 patients who received anesthesia using a 3 cc syringe filled with approximately 2 cc 2% lidocaine without epinephrine and a 1-inch 30 gauge needle. Local anesthesia was given directly to the vas at the ...

One of the very real complications possible in the use of local anesthetic agents is a relative overdose of the drug, resulting in an inordinate and potentially dangerous serum level. Even when using strict and careful technique, problems can occur. The reactions cited in the aforementioned cases were most likely the result of the accidental intravenous injection of a local anesthetic agent. Tw...

BACKGROUND Surgical closure of gastrochisis has traditionally been performed under general anesthesia followed by admission to intensive care and postoperative ventilation. We reviewed the management of these neonates in our hospital over the past 5 years to identify the changes in practice and possible factors which affect the peri-operative course. METHODS We retrospectively identified case...