Scimia Paolo, Basso Ricci Erika, Petrucci Emiliano, Behr Astrid Ursula, Marinangeli Franco, Fusco Pierfrancesco
From the Department of Anaesthesia and Perioperative Medicine, A.S.S.T. of Cremona, Cremona, Italy; Department of Anaesthesia and Intensive Care Unit, S.S. Filippo and Nicola Hospital of Avezzano, L'Aquila, Italy; Division of Anesthesia and Intensive Care, University of Padova, Italy; and Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, L'Aquila, Italy.
A A Pract. 2018 Apr 15;10(8):209-211. doi: 10.1213/XAA.0000000000000666.
Ultrasound (US)-guided transversalis fascia plane block (TFPB) was first described by Hebbard as a technique for blockade of T12-L1 nerves. Although this technique appears similar to the quadratus lumborum 1 block, the point of injection is more caudal and anterior, specifically targeting ilioinguinal and iliohypogastric nerves. There are only few published data on US-guided TFPB demonstrating effective postoperative analgesia in iliac crest bone graft harvesting. We report the use of US-guided TFPB in a patient undergoing inguinal herniorrhaphy. Our experience suggests that this technique could represent a viable alternative to general anesthesia and standard regional techniques for inguinal hernia repair.
超声（US）引导下的腹横筋膜平面阻滞（TFPB）最早由赫巴德描述为一种阻滞T12 - L1神经的技术。尽管该技术似乎与腰方肌阻滞1相似，但注射点更靠尾侧和前方，专门针对髂腹股沟神经和髂腹下神经。关于超声引导下TFPB在髂嵴取骨术后有效镇痛的已发表数据很少。我们报告了超声引导下TFPB在一名接受腹股沟疝修补术患者中的应用。我们的经验表明，该技术可能是腹股沟疝修补术全麻和标准区域技术的一种可行替代方法。
