Fajardo Perez Mario, Espinoza Morales Karla, Rodriguez Sojo Jose Fabio, Prada Castellnos Yaneth, Galluccio Felice
Pain Medicine, Morphological Madrid Research Center (MoMaRC), Madrid, ESP.
Anatomical Lab, Universidad Cientifica del Sur, Lima, PER.
Cureus. 2023 Aug 15;15(8):e43546. doi: 10.7759/cureus.43546. eCollection 2023 Aug.
In recent years, there has been an increase in demand for gluteal augmentation and reshaping surgeries with intramuscular implants which are becoming increasingly popular. Until now, this surgery was mainly performed under general anesthesia, but recently locoregional anesthesia techniques, such as tumescent local anesthesia, are being applied more and more. Today, the use of ultrasound for locoregional anesthesia and analgesia allows us to perform techniques that are increasingly precise and burdened with lower risks. In this report, we present a novel two-step ultrasound-guided technique combining a botox injection in the gluteus maximus four weeks before surgery and tumescent anesthesia with a cluneal nerve block. Furthermore, the combination of anesthetic and analgesic techniques can guarantee a better result both in terms of surgical execution of the intervention and in reducing pain and improving patient comfort in the postoperative period.
近年来，对使用肌肉内植入物进行臀肌增大和重塑手术的需求不断增加，这种手术越来越受欢迎。到目前为止，这种手术主要在全身麻醉下进行，但最近，诸如肿胀局部麻醉等局部区域麻醉技术的应用越来越多。如今，超声在局部区域麻醉和镇痛中的应用使我们能够实施越来越精确且风险更低的技术。在本报告中，我们介绍了一种新颖的两步超声引导技术，即在手术前四周在臀大肌中注射肉毒杆菌毒素，并结合肿胀麻醉和臀上皮神经阻滞。此外，麻醉和镇痛技术的结合在手术干预的实施以及减轻疼痛和提高患者术后舒适度方面都能保证更好的效果。
