Manatakis Dimitrios K, Stamos Nikolaos, Agalianos Christos, Karvelis Michail Athanasios, Gkiaourakis Michael, Davides Demetrios
1st Surgical Department, Athens Naval and Veterans Hospital, 70 Dinokratous Street, 11521 Athens, Greece.
Case Rep Anesthesiol. 2013;2013:874215. doi: 10.1155/2013/874215. Epub 2013 Sep 4.
We present two cases of patients who reported quadriceps femoris weakness and hypoesthesia over the anterior thigh after an inguinal hernia repair under transversus abdominis plane (TAP) block. Transient femoral nerve palsy is the result of local anesthetic incorrectly injected between transversus abdominis muscle and transversalis fascia and pooling around the femoral nerve. Although it is a minor and self-limiting complication, it requires overnight hospital stay and observation of the patients. Performing the block under ultrasound guidance and injecting the least volume of local anesthetic required are ways of minimizing its incidence.
我们报告了两例患者，他们在腹横肌平面（TAP）阻滞下进行腹股沟疝修补术后，出现股四头肌无力及大腿前部感觉减退。短暂性股神经麻痹是由于局部麻醉药误注入腹横肌与腹横筋膜之间并在股神经周围积聚所致。尽管这是一种轻微的自限性并发症，但仍需要患者住院过夜并接受观察。在超声引导下进行阻滞并注入所需的最少局部麻醉药剂量是将其发生率降至最低的方法。
