Kukreja Promil, Deichmann Paige, Selph John P, Hebbard John, Kalagara Hari
Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, USA.
Urology, University of Alabama at Birmingham, Birmingham, USA.
Cureus. 2020 Apr 14;12(4):e7665. doi: 10.7759/cureus.7665.
The erector spinae plane block (ESPB) is an interfascial plane block that has been used to provide perioperative analgesia for a variety of indications. This case report describes the novel use of the sacral ESPB on a transgender patient undergoing male-to-female gender reassignment surgery for perioperative pain control. The sacral ESPB technique was described and post-operative pain score and opioid requirements were reported. The sacral ESPB was successfully used as an alternative to neuraxial, caudal, or peripheral nerve blocks for gender reassignment surgery.
竖脊肌平面阻滞（ESPB）是一种筋膜间平面阻滞，已被用于多种适应证的围手术期镇痛。本病例报告描述了骶部ESPB在一名接受男性变女性性别重置手术的跨性别患者中用于围手术期疼痛控制的新用途。描述了骶部ESPB技术，并报告了术后疼痛评分和阿片类药物需求量。骶部ESPB成功地用作性别重置手术中神经轴、骶管或周围神经阻滞的替代方法。
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