Henning P Troy, Wilson Thomas J, Willsey Matthew, John Jessin K, Popadich Miriana, Yang Lynda J S
Departments of 1 Physical Medicine & Rehabilitation and.
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota; and.
Neurosurg Focus. 2017 Mar;42(3):E6. doi: 10.3171/2017.1.FOCUS16438.
Surgical transection of sensory nerves in the treatment of intractable neuropathic pain is a commonly performed procedure. At times these cases can be particularly challenging when encountering obese patients, when targeting deeper nerves or those with a variable branching pattern, or in the case of repeat operations. In this case series, the authors describe their experience with ultrasound-guided surgical instrument placement during transection of a saphenous nerve in the region of prior vascular surgery in 1 patient and in the lateral femoral cutaneous nerve in 2 obese patients. The authors also describe this novel technique and provide pilot data that suggests ultrasound-assisted surgery may allow for complex cases to be completed in an expedited fashion through smaller incisions.
手术切断感觉神经以治疗顽固性神经性疼痛是一种常见的手术。有时，当遇到肥胖患者、针对较深神经或分支模式多变的神经时，或者在重复手术的情况下，这些病例可能特别具有挑战性。在本病例系列中，作者描述了他们在1例曾接受血管手术区域的隐神经切断术以及2例肥胖患者的股外侧皮神经切断术中，使用超声引导手术器械放置的经验。作者还描述了这种新技术，并提供了初步数据，表明超声辅助手术可能允许通过较小的切口以更快的方式完成复杂病例。
