Choudhary Jaya, Mishra Amiya K, Jadhav Raju
From the Department of Anesthesia and Pain Medicine, Medica Superspecialty Hospital, Kolkata, West Bengal, India.
A A Pract. 2018 Aug 1;11(3):57-59. doi: 10.1213/XAA.0000000000000730.
Chronic neuropathic pain is a well-recognized complication of inguinal hernia repair. We report a 47-year-old man suffering from chronic neuropathic postherniorrhaphy pain. Planned ilioinguinal and iliohypogastric nerve blocks were not possible because excessive surgical scarring had distorted the sonoanatomy. We therefore performed transversalis fascia plane block with local anesthetic and steroid that resulted in long-term pain relief. This block has been successfully used in the past for providing postoperative analgesia in the L1 dermatome, but its role in chronic pain is unreported.
慢性神经性疼痛是腹股沟疝修补术一种公认的并发症。我们报告了一名47岁患有慢性疝修补术后神经性疼痛的男性患者。由于手术瘢痕过多使超声解剖结构变形，无法按计划进行髂腹股沟神经和髂腹下神经阻滞。因此，我们用局部麻醉剂和类固醇进行了腹横筋膜平面阻滞，从而实现了长期的疼痛缓解。这种阻滞过去已成功用于L1皮节的术后镇痛，但其在慢性疼痛中的作用尚无报道。
