Letters to the Editor are welcomed. They may report new clinical or laboratory observations and new developments in medical care or may contain comments on recent contents of the Journal. They will be published, if found suitable, as space permits. Like other material submitted for publication, letters must be typewritten, double-spaced, and must not exceed two typewritten pages in length. No m...

  Background: Anterior pelvic ring surgery includes a variety of plating techniques and insertion of retrograde superior pubic ramus screws. Anterior acetabular surgery also includes fixation through an ilioinguinal or Stoppa approach. These exposures risk injury to the spermatic cord and accompanying genital branch of the genitofemoral nerve. The primary aim of this study was to identify the d...

Background & Objective: Dexamethasone has been emerged as an adjuvant to local anesthetics to provide optimal analgesia. We have evaluated the postoperative analgesic efficacy of adding a low dose dexamethasone to bupivacaine in ilioinguinal and iliohypogastric blocks in patients undergoing inguinal herniorraphy under spinal anesthesia. Materials & Methods: 50 patients in the range of 20 - 80 ...

Chronic pelvic pain can present in various pain syndromes. In particular, interventional procedure plays an important diagnostic and therapeutic role in 3 types of pelvic pain syndromes: pudendal neuralgia, piriformis syndrome, and "border nerve" syndrome (ilioinguinal, iliohypogastric, and genitofemoral nerve neuropathy). The objective of this review is to discuss the ultrasound-guided approac...

THE lumbar plexus is derived from rami from the first through the fourth lumbar nerves and is primarily responsible for innervation of the extensor and adductor compartments of the thigh. Blockade of the lumbar plexus using a posterior approach, via either a single injection or continuous technique using an indwelling catheter, is an attractive alternative for postoperative pain management in p...

BACKGROUND The present study is a prospective randomized double-blinded study that designed to evaluate and compare the effectiveness of postoperative pain control and incidence of complications between ilioinguinal/iliohypogastric nerve block and intravenous morphine in paediatric patients undergoing unilateral orchidopexy in day surgery unit. METHODS Seventy patients aged 2-12 years were ra...

OBJECT The minimally invasive lateral retroperitoneal transpsoas approach is increasingly used to treat various spinal disorders. Accessing the retroperitoneal space and traversing the abdominal wall poses a risk of injury to the major nervous structures and adds significant morbidity to the procedure. Most of the current literature focuses on the anatomy of the lumbar plexus within the substan...