OBJECTIVE The aim of this study is to compare the effects of parasacral and posterior Winnie approaches when combined with the inguinal paravascular approach for lumbar plexus block. METHODS After the approval of the Ethics Committee, 40 patients scheduled to undergo arthroscopic knee surgery were enrolled. The patients were randomly assigned into two groups in a double-blind manner to perfor...

Chronic groin pain in athletes is often difficult to diagnose and treat. There are many anatomic structures in the inguinal and groin region that have the potential to cause pain. We report 32 cases of a previously undescribed condition in athletes of "obturator neuropathy," a fascial entrapment of the obturator nerve where it enters the thigh. This condition represents a type of groin pain in ...

INTRODUCTION Pelvic Schwannoma is an extremely rare event. Laparoscopic approach for radical resection on pelvic region already has been described in the literature. However, with better image quality provided by optic in the laparoscopy we can assure an improvement in this kind of approach for tumor resection. OBJECTIVE Our goal is to describe and evaluate the results of one laparoscopic res...

The etymology of anatomical terminology provides insight into the history anatomy, medicine, and scientific understanding. Therefore, this study assessed language 7th century Codex Amiatinus, earliest surviving most reliable copy Saint Jerome’s original 4th Latin Vulgate translation Bible, for details regarding injury Jacob as described in Book Genesis 32:22-32. Amiatinus notes that sustained a...

A 27 year old woman had a three day history of pain in the cutaneous distribution of the left obturator nerve before she developed the classical picture of ectopic pregnancy with lower abdominal pain and vaginal bleeding. A left tubal pregnancy was subsequently confirmed by laparoscopy. Referred pain along the obturator nerve has been reported in other pelvic conditions, but has not previously ...

BACKGROUND Optimal analgesia for total knee arthroplasty remains challenging. Many modalities have been used, including peripheral nerve block, periarticular infiltration, and epidural analgesia. However, the relative efficacy of various modalities remains unknown. The authors aimed to quantify and rank order the efficacy of available analgesic modalities for various clinically important outcom...

UNLABELLED Research suggests that the addition of dexmedetomidine to local anesthetics can prolong peripheral nerve blocks; however, it is not known whether dexmedetomidine can reduce the quantity of local anesthetic needed. We hypothesized that adding dexmedetomidine as an adjuvant to an obturator nerve block could reduce the median effective concentration of lidocaine. In this double-blinded ...

INTRODUCTION Transurethral surgery has become the dominant treatment for bladder and prostatic tumours. Regional anaesthesia is the favoured anaesthetic technique but adductor spasm leading to bladder wall perforation and increased morbidity is not uncommon. This review seeks to outline the cause, risk factors predisposing to this complication and the various techniques that have been adopted t...